预注法对罗库溴铵或维库溴铵起效作用的影响

Effects of priming on the onset time of rocuronium and vecuronium

  • 摘要: 目的: 观察预注法对罗库溴铵和维库溴铵起效作用的影响。方法: 2 0例全身麻醉患者,随机分为四组。组Ⅰ注射罗库溴铵0 6mg/kg;组Ⅱ首先注射罗库溴铵0.0 6mg/kg,3min后再注射罗库溴铵0.5 4mg/kg;组Ⅲ注射维库溴铵0.1mg/kg;组Ⅳ首先注射维库溴铵0.0 1mg/kg,3min后再注射维库溴铵0.0 9mg/kg。术中连续监测神经肌肉传导功能,分别记录四组注药后肌松作用的起效时间。结果: ①四组患者在身高、年龄、体得、性别比、血红蛋白含量等均无明显差异(P>0.0 5),②组Ⅰ与组Ⅲ比较,肌松起效时间分别为(1-4± 0 .3)和(4 .8± 0 .2) min,组Ⅰ明显短于组Ⅱ(P<0.0 1)。组Ⅱ与组Ⅰ比较,起效时间无明显差异。组Ⅳ与组Ⅲ比较,起效时间分别为(1.5± 0.4)和(4.8± 0.2) min,组Ⅳ明显缩短(P<0.0 1)。结论: 本研究的结果表明,2倍ED95罗库溴铵与维库溴铵的起效时间,维库溴铵明显长于罗库溴铵;预注10%插管剂量的维库溴铵,能够明显加速维库溴铵的起效时间。而罗库溴铵预注效果则不明显。

     

    Abstract: Objective: To evaluate the effects of priming on the time of rocuronium and vecuronium.Methods: 20, ASA grade Ⅰ Ⅱ patients undergoing elective plastic surgery were randomly allocated to four groups. Three minutes after a bolus of normal saline 1 ml, rocuronium 0 6 mg/kg and vecuronium 0 1 mg/kg were administered in group Ⅰ and group Ⅲ, respectively. Group Ⅱ and Ⅳ received a priming dose of rocuronium 0 06 and vecuronium 0 01 mg/kg followed by a intubating dose of rocuronium 0 54 mg/kg and vecuronium 0 09 mg/kg. The priming interval was 3 min. The onset time was recorded and analyzed.Results: Onset time in group Ⅰ and group Ⅲ were (1.4±0. 3)and (4.8±0.2)min, respectively and the onset time of group I was obviously shorter than group Ⅲ ( P <0.01)。There was no different between group Ⅱ and group Ⅰ, (1.3±0. 2)and (1.4±0.3)min. In group Ⅳ and group Ⅲ, the onset time were (1.5±0.4) and (4.8±0.2)min, respectively. Onset time in group Ⅳ was significantly shorter than group Ⅲ ( P <0.01). Conclusion: The onset time of rocuronium was significantly shorter than which of vecuronium. Rocuronium was ineffective in priming itself. Vecuronium was effctively in priming itself.

     

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