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异氟醚对罗库溴铵肌松效应影响的实验研究

Effect of isoflurane on rocuronium-induced neuromuscular blockade in rabbits

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【作者】 刘威孙大金陈锡明杭燕南王载礼金正均

【Author】 Liu Wei, Sun Dajin , Chen Ximing, et al. Department of Anesthesiology, Renji Hospital, Shanghai Second Medical University, Shanghai 200001 CHINA

【机构】 上海第二医科大学附属仁济医院麻醉科上海市儿童医学中心麻醉科上海第二医科大学基础部上海第二医科大学基础部 200001现在解放军三○九医院200001200001

【摘要】 目的 通过在体兔坐骨神经一胫前肌标本的制备,研究异氟醚对单次静注和连续输注罗库溴铵肌松效应的影响。方法 实验家兔均采用异氟醚全麻。10只家兔分为两组观测,观察组间单次静注罗库溴铵的肌松时效的变化;另取10只家兔分为两组,观察组间罗库溴铵连续输注后的肌松时效和输注量的变化。结果 单次静注罗库溴铵(2 倍 ED95 )时,异氟醚使其作用时间延长约 7min(P<0 .05),同时罗库溴铵对血液动力学影响轻微;连续静注罗库溴铵时,异氟醚使罗库溴铵的静脉输注需要量减少40%(P<0 .05),而对起效和恢复指数无明显影响。结论 异氟醚能增强罗库溴铵的肌松时效。

【Abstract】 Objective To Study the effect of isoflurane on bolus and continuous infusion of rocuronium-induced neuromuscular blockade. Methods Ten rabbits were randomly divided into two groups. The effect of isoflurane on the duration of the neuromuscular blockade of bolus rocuronium was observed. Another ten rabbits were randomly divided into two groups, and the effect of isoflurane on the duration of the neuromuscular blockade of continuous infusion of rocuronium and infusing rate in different phase were observed. Results End-tidal 1.7% isoflurane caused a significant prolongation of the blockade duration about 7 min following a bolus dose of 2ED_ 95of rocuronium (P<0.05),and resulted in 40% reduction in contimuous infusion requirement(P<0.01).There was no significant change in recovery index. Conclusion Isoflurane may prolong the duration of rocuronium-induced neuromuscular blockade.

  • 【文献出处】 临床麻醉学杂志 ,The Journal of Clinical Anaesthesiology , 编辑部邮箱 ,2005年02期
  • 【分类号】R96
  • 【被引频次】10
  • 【下载频次】88
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