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拉贝洛尔降压下瑞芬太尼抑制子痫前期产妇气管插管反应的半数有效浓度

Median effective target effect-site concentration of remifentanyl inhibiting cardiovascular response to tracheal intubation in women with preeclampsia under intravenous injection of labetalol

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【作者】 汪涛曾忠友张望平徐群张引法肖飞

【Author】 WANG Tao;ZENG Zhongyou;ZHANG Wangping;XU Qun;ZHANG Yinfa;XIAO Fei;Department of Anesthesiology,Jiaxing Hospital Chinese People’s Armed Police Force of Zhejiang Province;Department of Anesthesiology,Jiaxing Women and Children’s Hospital in Zhejiang Province;

【机构】 武警浙江省总队嘉兴医院麻醉科浙江省嘉兴市妇幼保健院麻醉科

【摘要】 目的探讨瑞芬太尼抑制子痫前期产妇气管插管心血管反应的半数有效浓度(EC50)。方法选择子痫前期产妇30例,静注拉贝洛尔后诱导,瑞芬太尼初始效应室浓度为3 ng/mL。气管插管心血管反应阳性标准:收缩压或舒张压≥160/110 mmHg。采用Probit概率回归法计算瑞芬太尼EC50及其95%可信区间。结果瑞芬太尼抑制气管插管心血管反应的EC50及其95%可信区间为1.93(1.89~1.95)ng/mL。结论瑞芬太尼抑制子痫前期产妇气管插管心血管反应的EC50为1.93 ng/mL。

【Abstract】 Objective To determine the median effective concentration(EC50) of remifentanyl inhibiting cardiovascular response to tracheal intubation in women with preeclampsia. Methods Thirty women with preeclampsia were enrolled in this study. The target Ce was set at 3 ng/mL. The positive cardiovascular response was defined as the blood pressure ≥160/110 mmHg. The EC50(95% confidence interva1) of cardiovascular responses to tracheal intubation was calculated by Probit analysis. Results EC50(95% confidence interval) of remifentanyl inhibiting cardiovascular response to tracheal intubation was 1.93(1.89~1.95) ng/mL. Conclusion EC50 of remifentanyl inhibiting cardiovascular response to tracheal intubation is 1.93 ng/mL in women with preeclampsia.

【基金】 浙江省省级公益性技术应用研究计划(2014C33120)
  • 【文献出处】 中国现代医生 ,China Modern Doctor , 编辑部邮箱 ,2014年29期
  • 【分类号】R614.2
  • 【被引频次】1
  • 【下载频次】15
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