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阿片类药物对吸入性麻醉药MACBAR的影响

刘征 蔡国君

刘征, 蔡国君. 阿片类药物对吸入性麻醉药MACBAR的影响[J]. 药学实践与服务, 2011, 29(6): 405-407,448.
引用本文: 刘征, 蔡国君. 阿片类药物对吸入性麻醉药MACBAR的影响[J]. 药学实践与服务, 2011, 29(6): 405-407,448.
LIU Zheng, CAI Guo-jun. Effects of opioids on MACBAR of inhalational anesthetics[J]. Journal of Pharmaceutical Practice and Service, 2011, 29(6): 405-407,448.
Citation: LIU Zheng, CAI Guo-jun. Effects of opioids on MACBAR of inhalational anesthetics[J]. Journal of Pharmaceutical Practice and Service, 2011, 29(6): 405-407,448.

阿片类药物对吸入性麻醉药MACBAR的影响

Effects of opioids on MACBAR of inhalational anesthetics

  • 摘要: 近年来,静脉吸入复合平衡麻醉的灵活性和可控性显著提高。本文回顾分析阿片类药物与吸入性麻醉药复合使用的临床文献,对两者相互作用的研究进展进行阐述,重点总结了不同阿片类药物对不同吸入性麻醉药MACBAR的影响特点,为临床合理应用两类药物,使平衡麻醉真正安全有效提供有益的参考。
  • [1] 庄心良.现代麻醉学[M].第三版.北京:北京人民出版社,2003: 449.
    [2] Merkel G, Eger EI. A comparative study of halothane and halopropane anesthesia: Including method for determining equipotency[J].Anesthesiology, 1963,4(5-7): 346.
    [3] Eger EI, Saidman LJ, Brandstater B. Minimum alveolar anesthetic concentration: A standard of anesthetic potency[J]. Anesthesiology, 1965,26(6): 756.
    [4] Roizen MF, Horrigan RW, Frazer M. Anesthetic doses blocking adrenergic (stress) and cardiovascular responses to incision MACBAR[J]. Anesthesiology, 1981,54(5): 390.
    [5] Shafer SL, Varel JR. Pharmacokinetics, pharmacodynamics and rational opioid selection[J]. Anesthesiology, 1991, 74(1): 53.
    [6] Willens JS, Myslinski NR. Pharmacodynamics, pharmacokinetics, and clinical uses of fentanyl, sufentanil, and alfentanil[J]. Heart Lung, 1993,22(31): 239.
    [7] Glass PS, Hardman D, Kamiyama Y, et al. Preliminary pharmacokinetics and pharmacodynamics of an ultra-short-acting opioid: remifentanil(G187084B)[J]. Anesth Analg, 1993,77(5): 1031.
    [8] Zhao Y, Wu XM, Duan JL, et al. Pharmacokinetics of sufentanil administered by target-controlled infusion in Chinese surgical patients[J]. Chin Med J, 2009,122(3): 291.
    [9] Ura T, Higuchi H, Taoda M, el al. Minimum alveolar concentration of sevoflurane that blocks the adrenergic response to surgical incision in women: MACBAR[J].Eur J Anaesthesiol, 1999,16(3): 176.
    [10] Katoh T, Kobayashi S, Suzuki A, et al. The effect of fentanyl on sevoflurane requirements for somatic and sympathetic responses to surgical incision[J]. Anesthesiology, 1999,90(1): 398.
    [11] 黄 舜,左明章.不同靶浓度舒芬太尼对腹部手术患者七氟烷MACBAR的影响[J].中华麻醉学杂志,2010,30(1):10.
    [12] 倪卫国,钟泰迪.不同靶浓度瑞芬太尼对腹部手术患者七氟烷MACBAR的影响[J].中华麻醉学杂志,2007,27(7):588.
    [13] 龙健晶,张 宏.瑞芬太尼靶控输注时不同靶浓度对七氟醚MACBAR的影响[J].中国药物应用与检测,2009,6(1):14.
    [14] Katoh T, Kobayashi S, Suzuki A, et al.Fentanyl augments block of sympathetic responses to skin incision during sevoflurane anaesthesia in children[J].Br J Anaesth, 2000, 84(1): 63.
    [15] Albertin A, Casati A, Bergonzi P, et al. Effects of two target-controlled concentrations (1 and 3 ng/ml) of remifentanil on MAC(BAR) of sevoflurane[J]. Anesthesiology, 2004, 100(2): 255.
    [16] Daniel M, Weiskopf RB, Noorani M, et al. Fentanyl augments the blockade of the sympathetic response to incision (MAC-BAR) produced by desflurane and isofluane are (MAC-BAR) withart and with fentanyl[J]. Anesthesiology, 1998; 88(1): 43.
    [17] Albertin A, Dedola E, Berqonzi PC, et al. The effect of adding two target-controlled concentration (1~3 ng/ml) of remitentanil on MACBAR of desflurane[J]. Eur J Anaesthesiol, 2006, 23(6): 510.
    [18] 张 薇. 3种镇痛药物对异氟烷MACBAR的影响[J]. 重庆医学, 2010, 39(7): 841.
    [19] Hornbein TF, Eger EIⅡ,Winter PM, et al. The minimum alveolar concentration of nitrous oxide in man[J]. Anesth Analg, 1982, 61(7): 553.
    [20] Albertin A, Casati A, Bergonzi P, et al. The effect of adding nitrous oxide on MAC of sevoflurane combined with two target-controlled concentrations of remifentanil in women[J]. Eur J Anaesthesiol, 2005, 22(6): 431.
    [21] Docuquier MA, Lavand'homme P, Ledermann C, et al. Can determining the minimum alveolar anesthetic concentration of volatile anesthetic be used as an objective tool to assess antinociception in animals[J].Anesth Analg, 2003, 97(4): 1033.
    [22] 赵高峰,秦 凯,李向宇,等. 舒芬太尼靶控输注对七氟烷MACBAR的影响[J].山东医药,2009,49(36):41.
    [23] Dedola E, Albertin A, Poli D, et al. The effect of nitrous oxide on desflurane MACBAR at two target-controlled concentrations of remitentanil[J]. Minerva Anestesiol, 2008, 74(5):165.
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  • 收稿日期:  2011-04-14
  • 修回日期:  2011-05-05

阿片类药物对吸入性麻醉药MACBAR的影响

摘要: 近年来,静脉吸入复合平衡麻醉的灵活性和可控性显著提高。本文回顾分析阿片类药物与吸入性麻醉药复合使用的临床文献,对两者相互作用的研究进展进行阐述,重点总结了不同阿片类药物对不同吸入性麻醉药MACBAR的影响特点,为临床合理应用两类药物,使平衡麻醉真正安全有效提供有益的参考。

English Abstract

刘征, 蔡国君. 阿片类药物对吸入性麻醉药MACBAR的影响[J]. 药学实践与服务, 2011, 29(6): 405-407,448.
引用本文: 刘征, 蔡国君. 阿片类药物对吸入性麻醉药MACBAR的影响[J]. 药学实践与服务, 2011, 29(6): 405-407,448.
LIU Zheng, CAI Guo-jun. Effects of opioids on MACBAR of inhalational anesthetics[J]. Journal of Pharmaceutical Practice and Service, 2011, 29(6): 405-407,448.
Citation: LIU Zheng, CAI Guo-jun. Effects of opioids on MACBAR of inhalational anesthetics[J]. Journal of Pharmaceutical Practice and Service, 2011, 29(6): 405-407,448.
参考文献 (23)

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