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纳洛酮全麻的特异性催醒效应 被引量:3

Specific Wakening effects of Nalxone in General Anesthesia
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摘要 目的 :观察纳洛酮对全麻病人特异性催醒作用。方法 :选择 6 0例用麻醉性镇痛药哌替啶或芬太尼全麻病人 ,分A、B两组。A组 30例术终应用NX0 4mg~ 0 8mg催醒 ;B组 30例应用生理盐水 5ml作对照。结果 :A组RF和VT 治疗后和治疗前比较P <0 0 5 ;RF、VT 治疗后A组和B组比较P <0 0 5。 15min时清醒及拔管A组和B组比较P <0 0 1,A组为B组的 5倍。结论 :NX特异性催醒效应比较强。 Objective To observe the specific wakening effects of naloxone in general anesthesia.Method Sixty patients receiving general anesthesia with narcotic anlgesics,such as pethidine and fentanyl were randomly allocated into two groups:Group A and B (n=30).In group A,0.4mg~0.8mg naloxone was used through the venous round at the end of the operation while in group B.Saline(5ml) was a control.Results In group A,Respiratory frequency (RF) and V T were more significant difference comparing post-treatment with pre-treatment.Group A compared with group B.RF and V T after the treatment were signicantly more different (P<0.05).In fifteen minutes,the time of waking and setting off the endotracheal tube in Group A was more apparently significant difference than in Group B (P<0.01),which was five times of Group B.Conclusion This study provides an evidence that the specific wakening effects of naloxone is more intense.
作者 韩伟 刘喜文
出处 《吉林医学》 CAS 2002年第5期266-267,共2页 Jilin Medical Journal
关键词 纳洛酮 特异性效应 催醒 全麻 Naloxone Specific effects Wakening
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  • 1陈伯銮.阿片受体拈抗药,纳洛酮[J].国外医学:麻醉学与复苏分册,1984,5(4):160-160.
  • 2Bocher MT. Advances in clinical toxicology [J]. Pediatr Clin North Am, 1985,32:193.
  • 3Chandavasu Q. Central nervous system depression from chlorpromazine poisoning successful treatment with naloxone [J].The Journal of Pediatrics, 1985 , 106(3) :515.
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  • 5刘喜文.纳洛酮引起肺水肿1例报告[J].中华麻醉学杂志,1999,13(4):305-305.

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