口腔颌面外科手术中芬太尼对雷米芬太尼全麻苏醒期的影响
被引量:1
摘要
雷米芬太尼是新一代μ阿片受体激动药,其突出特点是停药后作用消失迅速而完全,持续输沣即时半衰期(contextsensitive half—time)为3~5min,持续用药无阿片蓄积效应,无延迟性呼吸抑制。由于雷米芬太尼停药后其镇痛作用大为减弱,导致患者苏醒期躁动等不良反应的发生,率增加。为了减轻患者的不良反应,本文于2007年5~9月采用在手术结束前给予少量芬太尼的方法取得了较好的效果。现报道如下。
出处
《临床麻醉学杂志》
CAS
CSCD
2008年第9期804-804,共1页
Journal of Clinical Anesthesiology
参考文献3
-
1耿志宇,许幸.雷米芬太尼麻醉中应注意的若干问题[J].临床麻醉学杂志,2006,22(11):883-884. 被引量:60
-
2Lacombe GF,Leake JL.Clokie CM,et al.Comparison of remifentanil with fentanyl for deep scdation in oral surgery.J Oral Maxillofac Surg,2006,64:215-222.
-
3van der Zw3an T,Baerts WD,perez RS,et al.Postoperative condition after the use of remifentanil with a small dose of piritramide compared with a fentanyl-based protocol in patients undergoing craniotoy.Eur J Anaesthesiol.2005,22:438-441.
二级参考文献12
-
1Fletcher D,Pinaud M,Scherpereel P,et al.The efficacy of intravenous 0.15 versus 0.25 mg/kg intraoperative morphine for immediate postoperative analgesia after remifentanil-based anesthesia for major surgery.Anesth Analg,2000,90:666-671.
-
2van der Zwan T,Baerts WD,Perez RS,et al.Postoperative condition after the use of remifentanil with a small dose of piritramide compared with a fentanyl-based protocol in patients undergoing craniotomy.Eur J Anaesthesiol,2005,22:438-441.
-
3Van Elstraete AC,Lebrun T,Sandefo I,et al.Ketamine does not decrease postoperative pain after remifentanil-based anaesthesia for tonsillectomy in adults.Acta Anaesthesiol Scand,2004,48:756-760.
-
4Munoz HR,Guerrero ME,Brandes V,et al.Effect of timing of morphine administration during remifentanil-based anaesthesia on early recovery from anaesthesia and postoperative pain.Br J Anaesth,2002,88:814-818.
-
5Cafiero T,Di Minno RM,Sivolella G,et al.Immediate postoperative pain management in patients undergoing major abdominal surgery after remifentanil-based anesthesia:sufentanil vs tramadol.Minerva Anestesiol,2004,70:661-669.
-
6Habib AS,Parker JL,Maguire AM,et al.Effect of remifentanil and alfentanil on the cardiovascular response to induction of anaesthesia and tracheal intubation in the elderly.Br J Anaesth,2002,88:430-433.
-
7Schraag S,Kenny GN,Mohl U.Patient-maintained remifentanil target-controlled infusion for the transition to early postoperative analgesia.Br J Anaesth,1998,81:365-368.
-
8Owen MD,Poss MJ,Dean LS,et al.Prolonged intravenous remifentanil infusion for labor analgesia.Anesth Analg,2002,94:918-919.
-
9Volmanen P,Akural EI,Raudaskoski T,et al.Remifentanil in obstetric analgesia:a dose-finding study.Anesth Analg,2002,94:913-917.
-
10Murdoch JA,Hyde RA,Ken GN.Target-controlled remifentanil in combination with propofol for spontaneously breathing day-case patients.Anaesthesia,1999,54:1028-1031.
共引文献59
-
1戚劭.瑞芬太尼控制性降压用于脊柱手术的临床研究[J].中外医疗,2007,26(24):33-34. 被引量:2
-
2于军,邵勇平.微量泵输注瑞芬太尼和丙泊酚用于宫腔镜手术的临床效果[J].陕西医学杂志,2008,37(2):199-200.
-
3周燕.哌替啶预防雷米芬太尼停药后疼痛的可行性观察[J].齐齐哈尔医学院学报,2007,28(8):920-921.
-
4杨剑,邓妮惠,姚莉.瑞芬太尼在小儿全身麻醉中的应用[J].贵阳医学院学报,2007,32(3):298-299. 被引量:1
-
5马凤亚.舒芬太尼、芬太尼防治雷米芬太尼麻醉的食管癌术后急性疼痛疗效比较[J].实用医学杂志,2007,23(16):2595-2596. 被引量:9
-
6赵荣银,李文献.瑞芬太尼联合小剂量舒芬太尼应用于全麻的观察[J].中国现代医药杂志,2007,9(8):36-38. 被引量:2
-
7范圣登,丁洁,卜晓萱,沈江,洪涛,沈志忠.雷米芬太尼对上腹部手术患者心率变异性的影响[J].临床麻醉学杂志,2007,23(8):635-637. 被引量:1
-
8方传奇,何燕,王存真.小剂量丙泊酚复合雷米芬太尼对高血压病人围拔管期应激反应的影响[J].中原医刊,2007,34(21):31-33.
-
9许平.氯胺酮-异丙酚-瑞芬太尼静脉麻醉用于乳房纤维瘤切除术[J].中国现代医生,2007,45(12Z):111-111. 被引量:3
-
10李立晶,张建敏,王芳.雷米芬太尼对麻醉诱导中患儿脑电双频指数的影响[J].临床麻醉学杂志,2008,24(3):254-255.
同被引文献9
-
1Richa F, Yazigi A, Sleilaty G, et al. Comparison between dexmedetomidine and remifentanil for controlled hypotension during tympanoplasty[J]. Eur J Anaesthesiol, 2008, 25(5) : 369-374.
-
2Kwak HH, Park HD, Youn KH, et al. Branching patterns of the facial nerve and its communication with the auriculo- temporal nerve [J]. Surg Radiol Anat, 2004, 26(6): 494-- 500.
-
3Tohma A, Mine K, Tamatsu Y, et al. Communication be- tween the buccal nerve (V) and facial nerve (VII) in the hu- man face [J]. AnnAnat, 2004, 186(2) : 173--178.
-
4Dershwitz M, Rosow CE. The pharmaeokineties and phar- macodynamics of remifentanil in volunteers with severe he- patic or renal dysfunction[J]. J Ctin Anesth, 1996, 8(3 Sup- pl) : 88S--90S.
-
5Ruggeri L, Landoni G, Guarracino F, et al. Remifentanil in critically ill cardiac patients [J]. Ann Card Anaesth, 2011, 14(1) : 6--12.
-
6Lenz H, Raeder J, Draegni T, et al. Effects of COX inhibi- tion on experimental pain and hyperalgesia during and after remifentanil infusion in humans [J]. Pain, 2011, 152(6) : 1289-1297.
-
7Heid F, Grimm U, Roth W, et al. Intraoperative tramadol reduces shivering but not pain after remifentanil-- isoflurane general anaesthesia. A placebo-- controlled, double-- blind trial[J]. EurJ Anaesthesiol, 2008, 25(6) :468--472.
-
8Reid JE, Mirakhur RK. Bradycardia after administration of remifentanil [J]. Br J Anaesth,2000,84(3) : 422--423.
-
9冯群来,程德新.腮腺混合瘤术后并发症的临床分析[J].口腔医学研究,2010,26(2):276-277. 被引量:14
-
1周恩德,姚淑华.芬太尼延迟性呼吸抑制的处理体会[J].承德医学院学报,1996,13(2):124-125. 被引量:1
-
2李清,陶勇,宁吉顺.雷米芬太尼在神经阻滞中的应用[J].临床麻醉学杂志,2005,21(11):788-789. 被引量:2
-
3于力,韩传宝,周钦海,刘华.雷米芬太尼和氯胺酮全麻用于剖宫产的比较[J].临床麻醉学杂志,2007,23(9):772-773. 被引量:5
-
4李红松.外科围手术期抗菌药物应用研究[J].河北医药,2013,35(14):2179-2179. 被引量:3
-
5朱殿春.1158例外科手术患者应用抗生素情况的调查研究[J].中国医药指南,2012,10(28):189-190. 被引量:2
-
6吕经兰,路兰兰,胡卫宾.我院克林霉素临床应用调查分析[J].中国实用医药,2011,6(20):156-157. 被引量:9
-
7奚益群,董恒进.外科手术中抗生素预防性使用及经济学评价[J].上海医学,2000,23(7):441-443. 被引量:13
-
8黄国平.神经外科手术中预防感染的几种抗生素的应用[J].医药导报,1995,14(6):277-278.
-
9张如锦,洪涛.丙泊酚复合舒芬太尼或雷米芬太尼全凭静脉麻醉在胸科手术中的应用[J].临床麻醉学杂志,2009,25(11):985-986. 被引量:8
-
10池志强,朱友成,徐珩,金文桥,周德和.羟甲芬太尼──高选择性μ阿片受体激动剂及与μ-阿片受体相互作用的研究[J].生命科学,1999,11(6):273-277.