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双氯芬酸和酮洛芬对兔氟烷最低肺泡有效浓度的影响。

The effect of diclofenac and ketoprofen on halothane MAC in rabbit.

作者信息

Rorarius M G, Baer G A, Metsä-Ketelä T

机构信息

Department of Anaesthesiology, Tampere University Hospital, Finland.

出版信息

Agents Actions. 1993 Mar;38(3-4):286-9. doi: 10.1007/BF01976222.

DOI:10.1007/BF01976222
PMID:8213356
Abstract

Non-steroidal anti-inflammatory drugs obviously act also on the central nervous system. We, therefore, studied the effect of diclofenac 3 mg/kg and ketoprofen 4 mg/kg on the minimum alveolar concentration (MAC) of halothane in 10 New Zealand White rabbits. After determination of halothane MAC, total doses of NSAIDs were administered intravenously as three subdoses: 12.5%, 37.5% and 50% of the total dose. Depth of anaesthesia did not increase significantly after the first two doses with either drug. With ketoprofen, halothane MAC increased after subdose 3 from 1.52 (SD 0.42) vol% to 1.9 (SD 0.36) vol% (p < 0.01). With diclofenac, halothane MAC increased after subdose 3 from 1.44 (SD 0.18) vol% to 1.60 (SD 0.39) vol% (ns). With both drugs, large interindividual differences of MAC appeared after full doses of NSAIDs.

摘要

非甾体抗炎药显然也作用于中枢神经系统。因此,我们研究了3毫克/千克双氯芬酸和4毫克/千克酮洛芬对10只新西兰白兔氟烷最低肺泡浓度(MAC)的影响。在测定氟烷MAC后,非甾体抗炎药的总剂量以三次分剂量静脉给药:总剂量的12.5%、37.5%和50%。两种药物在前两剂给药后麻醉深度均未显著增加。使用酮洛芬时,第3次分剂量给药后氟烷MAC从1.52(标准差0.42)体积%增加到1.9(标准差0.36)体积%(p<0.01)。使用双氯芬酸时,第3次分剂量给药后氟烷MAC从1.44(标准差0.18)体积%增加到1.60(标准差0.39)体积%(无统计学意义)。使用两种药物时,在给予全剂量非甾体抗炎药后,MAC出现了较大的个体差异。

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本文引用的文献

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Diclofenac and ketoprofen for pain treatment after elective caesarean section.双氯芬酸和酮洛芬用于择期剖宫产术后疼痛治疗
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Central nervous system effects of aspirin.阿司匹林对中枢神经系统的影响。
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Mechanism of action of suprofen, a new peripheral analgesic, as demonstrated by its effects on several nociceptive mediators.新型外周镇痛药舒洛芬的作用机制,通过其对多种伤害性介质的作用得以证明。
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Prostaglandin D2, a cerebral sleep-inducing substance in rats.前列腺素D2,一种大鼠体内诱导大脑睡眠的物质。
Proc Natl Acad Sci U S A. 1983 Mar;80(6):1735-7. doi: 10.1073/pnas.80.6.1735.
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Intravenous indomethacin or oxycodone in prevention of post-operative pain.静脉注射吲哚美辛或羟考酮预防术后疼痛。
Br Med J (Clin Res Ed). 1983 Oct 8;287(6398):1026. doi: 10.1136/bmj.287.6398.1026.
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Double-blind controlled trial of indomethacin as an adjunct to narcotic analgesia after major abdominal surgery.吲哚美辛作为腹部大手术后辅助麻醉镇痛的双盲对照试验。
Lancet. 1982 Jul 17;2(8290):115-8. doi: 10.1016/s0140-6736(82)91089-3.
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Determination and applications of MAC.最低肺泡有效浓度的测定及应用
Anesthesiology. 1980 Oct;53(4):315-34. doi: 10.1097/00000542-198010000-00008.
8
Inhibition of prostaglandin biosynthesis.前列腺素生物合成的抑制
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9
The effect of aspirin and a compound analgesic on EEG and performance.阿司匹林和一种复方镇痛药对脑电图及行为表现的影响。
Act Nerv Super (Praha). 1973 May;15(2):143.
10
Diffusion of intramuscular ketoprofen into the cerebrospinal fluid.肌肉注射酮洛芬向脑脊液中的扩散。
Eur J Clin Pharmacol. 1985;29(3):319-21. doi: 10.1007/BF00544088.