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題名 | 使用Midazolam改善接受心導管檢查病患血液動力學之研究=Hemodynamic Study of Low Dose Midazolam Used during Cardiac Catheterization Examination |
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作者 | 鍾麗容; 劉秉一; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 8:2 民95 |
頁次 | 頁90-94 |
分類號 | 415.3026 |
關鍵詞 | 心導管檢查; 血液動力學; Midazolam; Cardiac catheterization examination; Hemodynamic; |
語文 | 中文(Chinese) |
中文摘要 | 接受心導管檢查的病患常於檢查過程中有血壓上升及焦慮情形,為改善此情形,本研究採隨機取樣方式收集100位病患,分為二組,每組50人,A組病患在接受心導管檢查過程中不注射Midazolam,B組病患在接受心導管檢查過程中注射Midazolam(0.02mg/kg),比較血壓、心率的差異。研究結果發現,B組病患在接受心導管檢查過程中注射Midazolam(0.02mg/kg),不僅安全、無副作用,且病患之收縮壓明顯降低(平均為11mmHg)。 |
英文摘要 | Safety and efficacy of Midazolam used for sedation and analgesia during cardiac catheterization examination were studied. A total of 100 patients underwent a total of 100 procedures. Midazolam (0.02 mg/kg) was administered in a blind fashion as and IV bolus to 50 patients. Hemodynamic responses were monitored. Ease of inducibility of tachycardia was not significantly altered by Midazolam. The drug was well-tolerated with no significant side effects, apart from a minor reduction (mean 11 mmHg) in systolic blood pressure (P<0.01). We conclude the low-dose Midazolam can be administered safely to most patients by the cardiologist during cardiac catheterization examination. |
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