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硬膜外注射丁丙诺啡和可乐定对女性膀胱功能的影响。

Effect of epidural buprenorphine and clonidine on vesical functions in women.

作者信息

Batra Y K, Gill P K, Vaidyanathan S, Aggarwal A

机构信息

Department of Anaesthesiology and Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Int J Clin Pharmacol Ther. 1996 Jul;34(7):309-11.

PMID:8832308
Abstract

Buprenorphine (4 micrograms/kg body weight) and clonidine (3 micrograms/kg body weight) were administered epidurally to investigate their effect on vesical function in 20 American Society of Anaesthesiologists Classification I (ASA I) adult females. Cystometry was performed before and 30 minutes following epidural administration of drugs. Epidural administration of buprenorphine increased the maximum cystometric capacity from 352 +/- 98.5 - 462.8 +/- 167.3 ml (p < 0.05). There was no significant change in detrusor pressure at maximum cystometric capacity, in vesical compliance, maximum flow rate, and in the mean flow rate. Epidural administration of clonidine did not produce any significant change in the above urodynamic parameters. None of the patients in both groups developed retention of urine.

摘要

对20名美国麻醉医师协会分级为I级(ASA I)的成年女性硬膜外给予丁丙诺啡(4微克/千克体重)和可乐定(3微克/千克体重),以研究它们对膀胱功能的影响。在硬膜外给药前及给药后30分钟进行膀胱测压。硬膜外给予丁丙诺啡使最大膀胱测压容量从352±98.5毫升增加至462.8±167.3毫升(p<0.05)。最大膀胱测压容量时的逼尿肌压力、膀胱顺应性、最大尿流率及平均尿流率均无显著变化。硬膜外给予可乐定未使上述尿动力学参数发生任何显著变化。两组患者均未出现尿潴留。

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