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1. 重庆医科大学附属第一医院麻醉科
2. 重庆医科大学附属第一医院麻醉科,重庆,400016
纸质出版日期:2008,
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[1]何开华,闵苏,陈其彬,魏珂,王彬.国产顺式苯磺酸阿曲库铵对成年人的肌松效应[J].重庆医科大学学报,2008(04):494-496.
HE Kai-hua, et al. Muscle relaxation of cisatracurium besilate made in China on adult patients[J]. Journal of Chongqing Medical University, 2008,(4):494-496.
目的:研究国产顺式苯磺酸阿曲库铵(Cisatracurium)在国人中的临床药效及对肝肾功能的影响。方法:择期手术成人患者30例
美国麻醉师协会分级(ASA)Ⅰ~Ⅲ级
单次注射顺式苯磺酸阿曲库铵0.15mg/kg诱导麻醉。观察心率、血压和全身皮肤情况以及连续4个成串刺激(TOF)的变化
当每串刺激的第一个肌颤抽(T1)达到最大抑制时行气管插管的情况。记录拇收肌诱发颤搐反应的抑制时程和恢复过程
术后24h测定肝肾功能。肌肉松弛效应观察指标包括:T4/T1抑制和恢复25%、75%、100%的时间。结果:所有患者在抑制达到100%时
完成气管插管
插管条件达到1级28例(93.3%)
2级2例(6.7%)。所有患者无皮肤潮红和支气管痉挛的表现。麻醉诱导后心率
血压比诱导前显著下降(P<0.05)。术后肝、肾功能与术前比较无差异。顺式苯磺酸阿曲库铵起效时间为(4.46±0.91)min
25%恢复时间为(42.02±6.73)min
100%恢复时间为(64.69±9.47)min
25%~75%恢复指数为(11.59±3.11)min。结论:麻诱导时用3倍ED95(95%有效药物剂量)顺式苯磺酸阿曲库铵可提供满意的插管状态;对血压、心率、肝、肾功能无明显影响;肌松恢复迅速。
Objective:To determine the clinical pharmacokinetics of cisatracurium besilate
and its effects on hepatic function and renal function in Chinese patients.Methods: Thirty ASA Ⅰ~Ⅲ
patients undergoing elective surgery were enrolled in this study.Anesthesia was induced by a single injection of cisatracurium 0.15mg/kg.The change of heart rate
blood pressure
skin condition and TOF were observed.When T1 reached the maximum block effect
condition of intubation were appraised and recorded.The inhibition and recovery process of adductor pollicis muscle to stimulation of ulnar nerve with TOF pulses was recorded.Times to T4/T1 inhibition and recovery to 25%
75% and 100% were noted.Which were the observing index for muscle relaxation.Hepatic function and renal function were determined after 24 hours.Results: AS the maximum block effect was 100%intubation completed.Grade one was 93.3%(28cases)
and grade two was 6.7(% 2cases).No erubescent phenomenon and bronchitis spasm were discovered.After induction of anesthesia
HR and BP decreased significantly(P<0.05).Hepatic function and renal function had no obvious change after operation.Average time of T4/T1 depressed to 100% was(4.46± 0.91) min
the average time of recovery to 25% and 100% were(42.02±6.73) min
and(64.69±9.47) min.respectively.And the recovery index of 25%~75% was(11.59±3.11) min.Conclusion: Intravenous administration of cisatracurium 0.15mg/kg(3× ED95) can he safely used for induction of general anesthesia.Which offers satisfactory muscle relaxation;and has no obvious effects on BP
HR
hepatic and renal functions in Chinese patients.
顺式苯磺酸阿曲库铵血液动力学神经肌肉阻滞
Cisatracurium besilateHemodynamicsneuromuscular blockade
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