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氧化亚氮不影响结肠手术的手术条件或术后病程。

Nitrous oxide does not influence operating conditions or postoperative course in colonic surgery.

作者信息

Krogh B, Jørn Jensen P, Henneberg S W, Hole P, Kronborg O

机构信息

Department of Anaesthesiology and Intensive Care, Odense University Hospital, Denmark.

出版信息

Br J Anaesth. 1994 Jan;72(1):55-7. doi: 10.1093/bja/72.1.55.

DOI:10.1093/bja/72.1.55
PMID:8110552
Abstract

We studied 150 patients undergoing elective colonic surgery; they were allocated randomly to undergo artificial ventilation with either air-oxygen or nitrous oxide-oxygen during surgery. Eleven patients were excluded. Preoperative management, surgery and postoperative analgesia were similar in both groups. Anaesthesia included propofol by infusion, pancuronium and fentanyl 3 micrograms kg-1 h-1. The air-oxygen group required a continuous infusion of propofol of 4-6 mg kg-1 h-1 whereas the nitrous oxide-oxygen group required only 1-2 mg kg-1 h-1. There were no differences between the groups in duration of anaesthesia, distension of the bowel and postoperative bowel function. The postoperative hospital stay was similar for both groups.

摘要

我们研究了150例行择期结肠手术的患者;他们被随机分配在手术期间接受空气-氧气或氧化亚氮-氧气人工通气。11名患者被排除。两组患者的术前管理、手术及术后镇痛相似。麻醉包括丙泊酚静脉输注、泮库溴铵及芬太尼3微克·千克⁻¹·小时⁻¹。空气-氧气组需要4-6毫克·千克⁻¹·小时⁻¹的丙泊酚持续输注,而氧化亚氮-氧气组仅需要1-2毫克·千克⁻¹·小时⁻¹。两组在麻醉持续时间、肠扩张及术后肠功能方面无差异。两组患者的术后住院时间相似。

相似文献

1
Nitrous oxide does not influence operating conditions or postoperative course in colonic surgery.氧化亚氮不影响结肠手术的手术条件或术后病程。
Br J Anaesth. 1994 Jan;72(1):55-7. doi: 10.1093/bja/72.1.55.
2
Anaesthetic technique does not influence postoperative bowel function: a comparison of propofol, nitrous oxide and isoflurane.麻醉技术不影响术后肠道功能:丙泊酚、氧化亚氮和异氟烷的比较。
Can J Anaesth. 1992 Nov;39(9):938-43. doi: 10.1007/BF03008343.
3
Peroperative nitrous oxide delays bowel function after colonic surgery.结肠手术中使用氧化亚氮会延迟肠道功能恢复。
Br J Anaesth. 1990 Feb;64(2):154-8. doi: 10.1093/bja/64.2.154.
4
Nitrous oxide increases the incidence of bowel distension in patients undergoing elective colon resection.氧化亚氮会增加择期结肠切除术患者肠扩张的发生率。
Acta Anaesthesiol Scand. 2004 Aug;48(7):894-8. doi: 10.1111/j.0001-5172.2004.00427.x.
5
[Propofol and postoperative nausea and/or vomiting].[丙泊酚与术后恶心和/或呕吐]
Anaesthesist. 1997 Sep;46(9):776-82. doi: 10.1007/s001010050468.
6
Nitrous oxide does not influence the surgeon's rating of operating conditions in lower abdominal surgery.一氧化二氮不影响外科医生对下腹部手术操作条件的评分。
Eur J Anaesthesiol. 1993 May;10(3):215-7.
7
Extubation time, hemodynamic stability, and postoperative pain control in patients undergoing coronary artery bypass surgery: an evaluation of fentanyl, remifentanil, and nonsteroidal antiinflammatory drugs with propofol for perioperative and postoperative management.冠状动脉搭桥手术患者的拔管时间、血流动力学稳定性及术后疼痛控制:对芬太尼、瑞芬太尼以及非甾体抗炎药联合丙泊酚用于围手术期和术后管理的评估
J Clin Anesth. 2006 Dec;18(8):605-10. doi: 10.1016/j.jclinane.2006.03.022.
8
Propofol anaesthesia reduces early postoperative emesis after paediatric strabismus surgery.丙泊酚麻醉可减少小儿斜视手术后早期呕吐的发生。
Can J Anaesth. 1993 Oct;40(10):927-33. doi: 10.1007/BF03010094.
9
The role of nitrous oxide in postoperative nausea and recovery in patients undergoing upper abdominal surgery.氧化亚氮在上腹部手术患者术后恶心及恢复过程中的作用。
Acta Anaesthesiol Scand. 1991 May;35(4):339-41. doi: 10.1111/j.1399-6576.1991.tb03301.x.
10
Is fentanyl effective for postoperative analgesia in day-surgery?芬太尼对日间手术术后镇痛有效吗?
Anaesth Intensive Care. 1992 Feb;20(1):38-40. doi: 10.1177/0310057X9202000107.

引用本文的文献

1
Nitrous Oxide is an Effective and Safe Anesthetic.一氧化二氮是一种有效且安全的麻醉剂。
Turk J Anaesthesiol Reanim. 2017 Feb;45(1):1-2. doi: 10.5152/TJAR.2017.23011. Epub 2017 Feb 1.
2
Nitrous oxide-based techniques versus nitrous oxide-free techniques for general anaesthesia.用于全身麻醉的氧化亚氮技术与无氧化亚氮技术的比较
Cochrane Database Syst Rev. 2015 Nov 6;2015(11):CD008984. doi: 10.1002/14651858.CD008984.pub2.
3
Anesthesia and perioperative management of colorectal surgical patients - A clinical review (Part 1).
结直肠手术患者的麻醉与围手术期管理——临床综述(第1部分)
J Anaesthesiol Clin Pharmacol. 2012 Apr;28(2):162-71. doi: 10.4103/0970-9185.94831.
4
[Nitrous oxide. Sense or nonsense for today's anaesthesia].[氧化亚氮。对当今麻醉来说是合理还是无稽之谈]
Anaesthesist. 2004 Sep;53(9):796-812. doi: 10.1007/s00101-004-0742-9.
5
Nitrous oxide increases the incidence of bowel distension in patients undergoing elective colon resection.氧化亚氮会增加择期结肠切除术患者肠扩张的发生率。
Acta Anaesthesiol Scand. 2004 Aug;48(7):894-8. doi: 10.1111/j.0001-5172.2004.00427.x.