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不同剂量新斯的明拮抗国产阿曲库铵肌松效应的观察
引用本文:朱凡,沈亮,傅维安. 不同剂量新斯的明拮抗国产阿曲库铵肌松效应的观察[J]. 蚌埠医学院学报, 2004, 29(1): 34-35
作者姓名:朱凡  沈亮  傅维安
作者单位:上海第二医科大学附属瑞金医院卢湾分院麻醉科, 200020
摘    要:目的: 观察不同剂量的新斯的明拮抗国产阿曲库铵肌松效应。方法: 30例ASA Ⅰ~Ⅱ级择期手术患者分为3组,每组10例,分别给新斯的明20 μg/kg (N20)、35 μg/kg (N35)、50 μg/kg (N50)拮抗国产阿曲库铵肌松作用,并测定各组TOF0.70的时间。结果: 新斯的明20 μg/kg产生的肌松恢复弱于35 μg/kg和50 μg/kg。而35 μg/kg和50 μg/kg所产生的肌松拮抗效果相似。结论: 新斯的明剂量由20 μg/kg增加到50 μg/kg时,肌松拮抗加快,35 μg/kg为较理想剂量。

关 键 词:新斯的明   阿曲库铵   肌松弛   拮抗剂
文章编号:1000-2200(2004)01-0034-02
收稿时间:2003-06-20
修稿时间:2003-06-20

Effect of dose of neostigmine on recovery from atracurium-induced neuromuscular blockade
ZHU Fan,SHEN Liang,FU Wei an. Effect of dose of neostigmine on recovery from atracurium-induced neuromuscular blockade[J]. Journal of Bengbu Medical College, 2004, 29(1): 34-35
Authors:ZHU Fan  SHEN Liang  FU Wei an
Affiliation:Department of Anesthesiology, Luwan Branch, Ruijin Hospital, Affiliated to Shanghai Second Medical University, Shanghai 200020, China
Abstract:Objective: To investigate the effect of dose of neostigmine administration on recovery from atracrium induced neuromuscular blockade.Methods: Thirty patients(ASA Ⅰ and Ⅱ) were divided into three groups(each ten),and received neostigmine 20 μg/kg,35 μg/kg and 50 μg/kg,respectively.Results: The speed of recovery from atracurium induced neuromuscular blockade with neostigmine 20 μg/kg was lower as compared with 35 μg/kg and 50 μg/kg,but the difference was not significant between with neostigmine 35 μg/kg and 50 μg/kg.Conclusions: Recovery from atracurium-induced neuromuscular blockade was accelerated when dose of neostigmine was increased from 20 μg/kg to 50 μg/kg,35 μg/kg is the optimal dose of neostigmine for reversal of atracurium induced neuromuscular blockade.
Keywords:neostigmine  atracurium  muscle relaxation  antagonists
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