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題 名 | The Effects of Tramadol Versus Fentanyl in Attenuating Hemodynamic Response Following Tracheal Intubation=Tramadol 和 Fentanyl 對於減少氣管插管所引起血液動力反應作用比較 |
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作 者 | 龐維伍; 雷志宏; 張大鵬; 童健瓊; 黃明和; | 書刊名 | 麻醉學雜誌 |
卷 期 | 37:4 1999.12[民88.12] |
頁 次 | 頁191-196 |
分類號 | 416.5 |
關鍵詞 | 術後; 疼痛; 血流動力學; Tramadol; Pain; Postoperative; Hemodynamics; |
語 文 | 英文(English) |
中文摘要 | 背景:Tramadol是一種中樞性止痛劑,它可以用於全身性麻醉及術後止痛,然而 tramadol 對於喉鏡插管後之血液動力影響尚不清楚。 本實驗即是比較在氣管插管前給予 tramadol 和 fentanyl 來觀察兩者之間其心跳血壓的變化。 方法:吾人選擇 40 位接受手術 ASA 分級Ⅰ - Ⅱ之病人為研究對象,兩性皆有,其年齡分 佈為 16 歲至 50 歲不等,每組 20 人。首先我們先將各人的基本心跳及血壓記錄下來,然 後在麻醉誘導前,劉用隨機雙盲方法分為兩組,F 組給予 fentanyl 3 μ g ╱ kg,T 組給 予 3 mg ╱ kg tramadol,再記錄其心跳和血壓的變化後, 執行麻醉誘導及插管並記錄 插管後 3 分鐘,6 分鐘,9 分鐘,及下刀前其血液動力的變化。 結果:所有的病人都能夠成功的誘導和插管,插管前血液動力的變化和初始的數值並無太大 的差異,然而使用喉鏡插管後可發現在這兩組之心跳和血壓有明顯的增加。 使用 tramadol 的病人比用 fentanyl 的病人在 6 分及 9 分心跳增加的多( P < 0.05 )且時間較久。 至於在動脈收縮壓,平均動脈壓和舒張動脈壓的變化兩組也都有增加,但是在舒張動脈壓方 面 F 組並沒有很大的增加。 而在插管 6 分和 9 分鐘時 T 組血壓明顯高於 F 組( P < 0.05 )。在 T 組有 6 人注射 tramadol 有微痛的反應。 結論:使用 3 μ g ╱ kg fentanyl 來作為 pentothal 麻醉誘導和氣管插管的輔助劑,其 對於血液動力的保護,拮抗心跳及血壓增加的作用明顯優於使用 tramadol3 mg ╱ kg。 |
英文摘要 | Background: Tramadol is a novel central acting analgesic. It has been used as a complement to general anesthesia and an effective agent for postoperative analgesia. However, the influence of tramadol on the hemodynamic response following laryngoscopy and tracheal intubation is less known. Methods: Forty patients of both sexes, 16-50 year old, ASA physical status Ⅰ or Ⅱ, scheduled for elective surgery were randomly divided into equal groups in this prospective, double blind study. After obtaining the baseline data, the patient was given 3 μ g/kg fentanyl (Group F) or 3 mg/kg tramadol (Group T). Then induction of anesthesia in a uniform and standardized manner was carried out by an anesthesiologist who was blind to the medication. The hemodynamic parameters were measured and recorded immediately after induction but prior to laryngoscopy, 3, 6, and 9 min after intubation, and before incision. We also observed any unusual effect in the postoperative care unit. Chi-square test, Student's t-test and paired t-test were used for statistical comparison. A P less than 0.05 was considered statistically significant. Results: All patients had a successful induction and intubation. Differences in baseline values were not significant, nor were the differences in the values following induction. After laryngoscopy and intubation, heart rate increased significantly above the baseline level in both groups. The increase of heart rate was significantly more at 6 and 9 min (P<0.05) and lasted longer in the tramadol group. After intubation, systolic, mean and diastolic arterial pressure (SAP, MAP, DAP) increased significantly above baseline in both groups too, except for DAP in fentanyl group. At 6 and 9 min, the MAP and DAP were significantly higher in tramadol than in fentanyl group (P<0.05). Six patients in tramadol group had mild pain on injection of tramadol. Conclusions: When administered right before thiopental induction, 3 mg/kg tramadol did not display a better attenuation against the increase of hemodynamic profiles than did 3 μ g/kg fentanyl following tracheal intubation. |
本系統中英文摘要資訊取自各篇刊載內容。