摘要
16例ASAⅠ~Ⅱ级,年龄20~60岁,择期颅脑外科手术病人,随机分成两组:Ⅰ组,对照组,Ⅱ组,可乐定组.每组8例.Ⅱ组病人术前口服可乐定5μg/kg。两组病人MAP均较前降低约40%.结果,硝普钠总用县区组比Ⅰ组减少41%(P<0.01);Ⅱ组各个时期HR明显低于Ⅰ组(P<0.05或P<0.01);围术期尿量Ⅱ组明显多于Ⅰ组(P<0.01)。提示,术前口服可乐定可加强硝普纳控制性降压效果,减少其用量,克服其缺点。
16 patients(male 14,female 2, aged 20~60 years, ASA Ⅰ ~ Ⅱ )scheduled for elec-tive cerebral surgery were randomly divided into two groups:Group Ⅰ was control group (n= 8);Group Ⅱ was clonidine group (n = 8), premedicated with colndine 5pg. Kg-1 peros. MAP of bothgroups was reduced about 4O%. The resultS showed that the totaI dose of ndium nitroprusside re-quired to produce hypotension in group Ⅱ was 41 % lower (P<0.01) lthe heart rate at each stage ingroup Ⅱ was apparently lower than that in group Ⅰ (P<0.01) land the urinary output during oPera-tion in group Ⅱ was apparently higher (P<0. 01). It suggests that clonidine premedication can enfocethe hypotensive action of sedium notroprusside,decrease its dose requirement and overcome its disad-vantage.
出处
《泸州医学院学报》
1995年第4期279-282,共4页
Journal of Luzhou Medical College
关键词
降压药
可乐定
硝普钠
药物相互作用
Antihypertensive agents
Sodium notroprusside
Clonidine
Premedication