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长托宁、地塞米松预注抑制芬太尼咳嗽反射 被引量:4

Pre-injection of Penehyclidine and Dexamethasone in Restraining Cough Reflex Caused by Fentanyl
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摘要 目的观察长托宁、地塞米松预注抑制芬太尼咳嗽反射的有效性。方法选择全麻病人100例,随机分为实验组(Ⅰ组)和对照组(Ⅱ组),每组50例。Ⅰ组病人于芬太尼静注前10min静注长托宁0.5mg、地塞米松5mg,观察两组病人静注分太尼后1min发生反射性咳嗽的例数(发生率)并进行比较。结果Ⅰ组病人发生发射性咳嗽4例(8%);Ⅱ组病人发生反射性咳嗽18例(36%),两组有极显著性差异(P<0.01)。结论长托宁、地塞米松预注能够抑制芬太尼的咳嗽反射。 Objective To observe the effectiveness of pre-injection of penehyclidine and dexamethasone in restraining cough reflex caused by fentanyl. Methods 100 ehosed patients of general anesthesia were randomly divided into experimental group (Group Ⅰ ) and comparison group(Group Ⅱ ) ,50 patients in each group. Patients in group Ⅰ are mainlined 0.5 mg penehyelidine and 5 mg dexamethasone at 10 min before mainlined fentanyl,then the cough reflex eases(incidence) in two groups were observed and compared at 1 min after patients being mainlined fentanyl. Results There were four cough reflex eases(8%) in Group Ⅰ and 18 eases(36%) in Group Ⅱ. The difference between two groups was very significant(P〈 0.01 ). Conclusion Pre-injection of penehyelidine and dexamethasone can restrain cough reflex caused by fentanyl.
出处 《中国现代医生》 2008年第7期113-114,共2页 China Modern Doctor
关键词 长托宁 地塞米松 芬太尼 咳嗽反射 Penehyelidine Dexamethasonum Fentanyl Cough reflex
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参考文献4

  • 1[1]Pandey CK,Raza M,Ranjan R,et al.Intravenous lidocaine suppresses fentany1-induced coughing:a double-blind,prospective,randomized placebo-controlled study[J].Anesth Analg,2004,99(6):1696-1698. 被引量:1
  • 2[2]Agarwal A,Azim A,Ambesh S,et al.Salbutamol,beclomethasone or sodium chromoglycate suppress coughing induced by iv fentanyl[J].Can J Anaesth,2003,50(3):297-300. 被引量:1
  • 3张志永,黄宇光,卢素芳,周游,薛杨,任洪智.地塞米松抑制芬太尼咳嗽反射的临床观察[J].临床麻醉学杂志,2007,23(9):779-779. 被引量:22
  • 4顾振纶,卞春尊,张银娣.医学药理学.北京:科学出版社.1998.51-53. 被引量:11

二级参考文献2

  • 1Lin CS,Sun WZ,Chan WH,et al.Intravenous lidocaine and ephedrine,but not propofol,suppress fentanyl-induced cough.Can J Anaesth,2004,51:654-659. 被引量:1
  • 2Agarwal A,Azim A,Ambesh S,et al.Salbutamol,beclomethasone or sodium chromoglycate suppress coughing induced by iv fentanyl.Can J Anaesth,2003,50:297-300. 被引量:1

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