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可乐定用于围手术期治疗

[Use of clonidine for perioperative therapy].

作者信息

Fidziańska-Długosz E

机构信息

Kliniki Anestezjologii i Intensywnej, Terapii Akademii Medycznej, we Wrocławiu.

出版信息

Przegl Lek. 1998;55(5):284-7.

PMID:9741198
Abstract

Clonidine is a selective alpha 2 adrenergic receptors agonist with a wide spectrum of activity. Except well known hypotensive effect, clonidine stabilizes circulatory system and has sedative, anxiolytic, analgesic, diuretic etc. activities. Clonidine has some appliance during perioperative period. When used in premedication it has a lot of advantages: causes sedation, has anxiolytic properties, reduces secretion of saliva, stabilizes circulatory system, diminishes stress reaction, augments action of anaesthetic and analgesic drugs. When used during the operation, regulates circulatory system, prolongs and amplifies central and peripheral blocks. Clonidine diminishes patients requirement for opioids and local anaesthetics during postoperative and long-term pain therapy.

摘要

可乐定是一种具有广泛活性的选择性α2肾上腺素能受体激动剂。除了众所周知的降压作用外,可乐定还能稳定循环系统,并具有镇静、抗焦虑、镇痛、利尿等作用。可乐定在围手术期有一定的应用。用于术前用药时具有诸多优点:可引起镇静、具有抗焦虑特性、减少唾液分泌、稳定循环系统、减轻应激反应、增强麻醉药和镇痛药的作用。在手术过程中使用时,可调节循环系统,延长并增强中枢和外周阻滞。可乐定在术后及长期疼痛治疗中可减少患者对阿片类药物和局部麻醉药的需求。

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