右美托咪定对开胸术后患者舒芬太尼镇痛效应的影响
被引量:7
摘要
舒芬太尼以其镇痛效能强,呼吸抑制作用相对较弱逐渐成为临床最常用的静脉术后镇痛药物,但其呼吸抑制作用仍是不可忽视的问题。临床上常复合非阿片类药物用于术后镇痛,以减少舒芬太尼用量。
出处
《中国疼痛医学杂志》
CAS
CSCD
北大核心
2012年第12期759-761,共3页
Chinese Journal of Pain Medicine
基金
安徽医科大学校级科研基金(2011xkj047)
参考文献9
-
1何建伟,龚文魁,李丽,王美容.微量氯胺酮加强舒芬太尼的静脉镇痛效应[J].中国疼痛医学杂志,2011,17(11):674-677. 被引量:10
-
2Lin TF, Yeh YC, Lin FS, et al. Effect of combining dexmedetomidine and morphine for intravenous patient-controlled analgesia. Br J Anaesth, 2009, 102 : 117- 122.
-
3邬子林,周志飞,许立新,佘守章.右旋美托咪啶对老年患者全髋置换术后芬太尼静脉自控镇痛效果的影响[J].南方医科大学学报,2011,31(4):701-704. 被引量:45
-
4Sadhasivam S, Boat A, Mahmoud M. Comparison of patient-controlled analgesia with and withoutdexmedetomidine following spine surgery in child- ren. J Clin Anesth, 2009, 21 : 493 - 501.
-
5G6mez-V/tzquez ME, Hern/mdez-Salazar E, Hern-ndez-Jim6nez A, et al. Clinical analgesic efficacy and side effects of dexmedetomidine in the early postoperative period after arthroscopie knee surgery. J Clin Anesth, 2007, 19 : 576 - 582.
-
6Yildiz M, Tav|an A, Tuncer S, et al. Effect of dexmedetomidine on, haemodynamic responses to laryngoscopy and intubation : perioperative, ha- emodynamics and anaesthetic requirements. Drugs R D, 2006, 7 : 43 - 52.
-
7Angst MS, Ramaswamy B, Davies MF, et al. Com- parative analgesic and mental effects of increasing plasma concentrations of dexmedetomidine and alfentanil in humans. Anesthesiology, 2004, 101 : 744 - 752.
-
8Ohtani N, Yasui Y, Watanabe D, et al. Perioperative infusion of dexmedetomidine at a high dose reduces postoperative analgesic requirements: a randomized control trial. J Anesth, 2011, 11 : 1239 1246.
-
9李丽萌,吴晓丹,陈彦青.帕瑞昔布钠对妇科术后舒芬太尼PCA效果的影响[J].临床麻醉学杂志,2010,26(6):500-502. 被引量:18
二级参考文献26
-
1吴新民,岳云,张利萍,王俊科,艾登滨,于布为,薛张纲,黄文起.术后镇痛中帕瑞昔布钠对吗啡用量的节俭作用和安全性—前瞻性、多中心、随机、双盲、安慰剂对照、平行分组研究[J].中华麻醉学杂志,2007,27(1):7-10. 被引量:367
-
2Hubbard RC, Naumann TM, Traylor L, et al. Pareeoxib sodium has opioid-sparing effects in patients undergoing total knee arthroplasty under spinal anaesthesia. Br J Anaesth, 2003,90: 166-172.
-
3Malan TP, Marsh G, Hakki SI, et al. Parecoxib sodium, a parenteral cyclooxygenase-2 selective inhibitor, improves morphine analgesia and is opioid-sparing following total hip arthro plasty. Anesthesiology, 2003,98 : 950-956.
-
4Bloor BC, Ward DS, Belleville JP, et al. Effects of intravenous dexmedetomidine in humans. II. Hemodynamic changes [J]. Anesthesiology, 1992, 77(6): 1134-42.
-
5Joshi GP. Multimodal analgesia techniques and postoperative rehabilitation[J]. Anesthesiol Clin North Am, 2005, 23(1): 185-202.
-
6Chrysostomou C, Schmitt CG. Dexmedetomidine: sedation, analgesia and beyond[J]. Expert Opin Drug Metab Toxieol, 2008, 4 (5): 619-27.
-
7MacDonald E, Scheinin M. Distribution and pharmacology of alpha 2-adrenoceptors in the central nervous system[J]. J Physiol Pharmacol, 1995, 46(3): 241-58.
-
8Al-Metwalli RR, Mowafi HA, Ismail SA, et al. Effect of intra-articular dexmedetomidine on postoperative analgesia after arthroscopie knee surgery[J]. Br J Anaesth, 2008, 101(3): 395-9.
-
9Kamibayashi T, Maze M. Clinical uses of alpha2-adrenergic agonists [J]. Anesthesiology, 2000, 93(5): 1345-9.
-
10Ossipov MH, Suarez LJ, Spaulding TC. Antinociceptive interactions between alpha 2-adrenergic and opiate agonists at the spinal level in rodents[J].Anesth Analg, 1989, 68(3): 194-200.
共引文献70
-
1常福红,郑锦坤.癌痛患者麻醉镇痛药的临床应用分析[J].分子影像学杂志,2013,36(1):1-3. 被引量:5
-
2袁从旺,陆丽娟,骆漩,王喆妍.比较术前和术中静脉注射帕瑞昔布钠对开胸术后芬太尼静脉自控镇痛的影响[J].临床麻醉学杂志,2011,27(3):262-263. 被引量:13
-
3阿合买提.帕瑞昔布钠联合舒芬太尼在开腹胆囊切除术术后急性疼痛应用效果分析[J].吉林医学,2011,32(25):5244-5245. 被引量:2
-
4赵志钢,谭毅.静脉镇痛药在术后镇痛中的应用现状[J].中国临床新医学,2011,4(11):1091-1095. 被引量:4
-
5邬子林,许立新,佘守章.右美托咪定在手术麻醉与镇痛中的研究进展[J].广东医学,2012,33(8):1043-1045. 被引量:33
-
6黄飞彬,陈彦青.右美托咪啶用于甲状腺术后病人自控静脉镇痛的效果[J].福建医药杂志,2012,34(2):75-77. 被引量:1
-
7夏芹,叶旻,汪汐,季煊,李泉,傅舒昆.右美托咪定复合芬太尼用于妇科手术后镇痛的疗效观察[J].临床麻醉学杂志,2012,28(8):815-815. 被引量:8
-
8郭一新,刘春青,郭尔萍.帕瑞昔布钠复合舒芬太尼用于妇科PCIA的效果观察[J].基层医学论坛,2012,16(25):3298-3299. 被引量:1
-
9郑卫国.帕瑞昔布钠联合苏芬太尼术后自控镇痛在大面积烧伤患者中的临床应用[J].中国基层医药,2012,19(21):3301-3302. 被引量:2
-
10周向阳,韩彩玲,朱丽,崔健.帕瑞昔布钠在烧伤患者术后镇痛中的应用[J].宁夏医科大学学报,2012,34(10):1058-1060.
同被引文献63
-
1Unlugenc H, Gunduz M .. et al. The effect of prear, esthetic ad-ministration of intravenous dexmedetomidine on postoperativepain in patients receiving patient - controlled morphine [ J ]. Eur J Anacsthesi- ol,2005,22 (5) :386 - 391.
-
2邓小明,曾因明.主编.麻醉学新进展[M].北京:人民卫生出版社,2011:325-328.
-
3Olutoye 0 A, Glover C D, Diefenderfer J W, et al. The effect of intrao- perative dexmedetomidine on postoperative analgesia and sedation in pediatric patients undergoing tonsillectomy and adenoidectomy [ J ]. Anesth Analg,2010,111 (2) : 490 -495.
-
4Massad I M, Mohsen W A, Basha A S, et al. A balanced anesthesia with dexmedetomidine decreases postoperative nausea ang vomiting af- ter laparoscopic surery [ J]. Saudi Med J, 2009,30 ( 2 ) : 1537 - 1541.
-
5Lin TF, Yeh YC, Lin FS, et al. Effect of combining dexmedetomidine and morphine for intravenous patient - controlled analgesia. Br J An- aesth ,2009,102 : 117 - 122.
-
6Winter A. Abandoned in Brussels,delivered in Paris:long- distance transports of unwanted children in the eighteenth century [J]. J Fam Hist,2010,35(3):232-248.
-
7赵西宝,谭晓青,崔学英.右美托咪定在急性呼吸窘迫综合征机械通气患者中的应用分析[J].中国保健营养(下旬刊),2013,23(11):245-246.
-
8Chan AK, Cheung CW, Chong YK. Alpha-2agonists in acute pain management. Expert Opin Pharmacother, 2010, 11" 2849 - 2868.
-
9Jaakola ML, Salonen M, Lehtinen R, et al. The analgesic action of dexmedetomidine a novel alpha2-adrenoceptor agoniet in healthy volunteers. Pain, 1991, 46:281 - 285.
-
10Tan JA. Ho KM, Use of dexmedetomidine as a sedative and analgesic agent in critically ill adult patients: a meta- analysis. Intensive Care Med, 2010, 36:926 - 939.
引证文献7
-
1王东昕,阚红莉,金洪永.全麻甲状腺手术中应用右美托咪定对芬太尼术后镇痛的影响[J].中国地方病防治,2013,28(4):303-305. 被引量:2
-
2韩彩玲,王毅,韦晓勇,孟尽海.右美托咪定复合舒芬太尼对胸腔镜手术患者术后镇痛及应激反应的影响[J].宁夏医学杂志,2018,40(12):1103-1106.
-
3李媛莉,赵继波,李树铁,汪业铭.右美托咪定联合舒芬太尼对ICU患者镇静镇痛效果研究[J].中国医药导报,2014,11(20):85-87. 被引量:22
-
4傅文喜,严峻.右美托咪定在急性呼吸窘迫综合征机械通气患者中的应用[J].现代诊断与治疗,2016,27(1):48-49.
-
5殷刚,雷利荣,吴谦.地佐辛联合盐酸曲马多用于肺癌患者开胸术后自控镇痛的疗效[J].肿瘤防治研究,2016,43(7):602-605. 被引量:11
-
6常江涛,孙巧霞,姜淑红,董成燕,石存现,张海桥,马加海.右美托咪定复合布托啡诺对经尿道前列腺电切术镇痛观察[J].中国疼痛医学杂志,2016,22(8):635-637. 被引量:15
-
7卢彬,郑业英,张俊涛.麻醉诱导前应用右美托咪定对老年腹部肿瘤手术患者术后镇痛和镇静效果的影响[J].中国老年学杂志,2017,37(16):4033-4035. 被引量:7
二级引证文献57
-
1李继宗.右美托咪定复合布托啡诺在剖宫产术后镇痛的临床研究[J].医学新知,2019,29(S1):61-62. 被引量:1
-
2李瑞芹,季永.右美托咪定在老年腹部手术患者麻醉中的应用分析[J].世界临床医学,2018,12(3):51-51.
-
3安振平,吉六舟.右美托咪定复合小剂量芬太尼在成人胃肠镜检查中的应用[J].中国医药导报,2016,13(1):75-78. 被引量:9
-
4文斌,姜海亮.盐酸氢吗啡酮用于呼吸机辅助治疗COPD伴意识障碍患者镇痛的临床疗效[J].现代医药卫生,2016,32(5):753-754. 被引量:3
-
5陈裕强.右美托咪定联合舒芬太尼应用于结肠癌术后的镇痛效果[J].检验医学与临床,2016,13(8):1057-1059. 被引量:17
-
6侯哲,马红双,郭瑞,王华伟,李勇锋,薛娅,苏宏超,杜浩.舒芬太尼联合右美托咪定在骨科围手术期ICU机械通气患者中的应用[J].医药论坛杂志,2016,37(1):143-144. 被引量:8
-
7林炜.吗啡联合咪达唑仑在ICU内患者中的镇痛镇静应用观察[J].医药论坛杂志,2016,37(8):131-132. 被引量:1
-
8李晨.右美托咪定联合地佐辛在髋关节置换术后自控镇痛中的应用效果观察[J].中外女性健康研究,2016(18):221-223.
-
9王沈平.地佐辛复合曲马多在剖宫产术后PCIA镇痛中的应用[J].海峡药学,2017,29(5):137-138.
-
10许军,张联义.右美托咪定复合布托啡诺对股骨近端防旋髓内钉内固定术后静脉镇痛的临床观察[J].中国临床研究,2017,30(6):819-821. 被引量:23
-
1卢清凤,梁小军,刘伟明,刘妮.2种全身麻醉用于老年腹腔镜胆囊手术的比较[J].现代临床医学,2014,40(1):52-53. 被引量:4
-
2李有武.丁卡因配伍曲马多行硬膜外镇痛的临床观察[J].实用临床医学(江西),2007,8(4):65-65.
-
3郭喜勇.瑞芬太尼复合丙泊酚对腹腔镜胆囊切除术麻醉中血流动力学的影响分析[J].医药论坛杂志,2011,32(12):93-94. 被引量:4
-
4黄泽汉,黄锦益,邓军,韦克,韦龙华.高乌甲素预注镇痛用于人工流产术效果观察[J].现代中西医结合杂志,2011,20(2):215-216. 被引量:3
-
5倪新颖.瑞芬太尼复合丙泊酚用于静脉麻醉的临床观察[J].中国民族民间医药,2009,18(6):131-131. 被引量:2
-
6王晓燕,综述,王景阳,审校.脊髓阿片类和非阿片类药物联合镇痛[J].疼痛,2003,11(1):43-46.
-
7肖实,曲良超.术后认知功能障碍研究进展[J].武警后勤学院学报(医学版),2012,21(10):829-831. 被引量:4
-
8梁慧英,程连臣,王昊,曹晋彪.帕瑞昔布钠用于膝关节置换术后镇痛的临床研究[J].实用医技杂志,2012,19(8):870-871.
-
9李帆,刘心强,黄岚,毕生龙,陈艾琼,张连英.不同浓度左布比卡因混合右美托咪啶用于小儿骶麻中的起效时间和镇痛效能[J].当代医学,2016,22(16):12-13. 被引量:2
-
10林献忠,杨锡馨.阿片与非阿片类药物的椎管内途径镇痛[J].疼痛,2003,11(4):162-166.