[区域麻醉时地西泮和氟硝西泮镇静对术后肺功能的影响[作者译]。

W Tolksdorf, R Rohowsky, R Klose, H Lutz
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引用次数: 0

摘要

在32例53 - 86岁的经尿道前列腺切除术患者中,与安慰剂相比,测量了术中镇静地西泮(5-10 mg)和氟硝西泮(0.4 - 0.8 mg)对术后用力肺活量、用力呼吸量(1秒)和峰值流量的影响。除术后晚上氟硝西泮镇静后出现血流峰值外,三组患者均未见通气参数下降(p < 0.05)。我们的结论是,与全麻相比,区域麻醉时的镇静不会损害局麻最重要的优势,对通气的影响较小。
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[The influence of sedation with diazepam and flunitrazepam during regional anaesthesia upon postoperative pulmonary performance (author's transl)].

In 32 patients between 53 and 86 years of age, undergoing transurethral prostatectomy, the influence of intraoperative sedation with Diazepam (5-10 mg) and Flunitrazepam (0,4-0,8 mg) on postoperative forced vital capacity, forced exspiratory volume (1 sec.) and peakflow, were measured, compared to placebo. We could not find a depression of these ventilatory parameters, in the three groups except peak-flow after sedation with Flunitrazepam in the evening after operation (p less than or equal to 0,05). We conclude that sedation during regional anesthesia does not impair the most important advantage of local anesthesia, the minor effect on ventilation, compared with general anesthesia.

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