首页|环泊酚复合地佐辛用于人工流产术麻醉半数有效剂量的测定

环泊酚复合地佐辛用于人工流产术麻醉半数有效剂量的测定

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目的 测定环泊酚复合地佐辛用于人工流产术的半数有效剂量.方法 将2023年11月于郑州大学第二附属医院拟行无痛人工流产术的25例患者纳入研究,体重指数为18~25 kg·m-2,采用静脉全身麻醉.静脉注射地佐辛2.5 mg后,根据序贯法给予环泊酚,初始剂量0.33 mg·kg-1,浓度梯度为0.02 mg·kg-1,麻醉后患者眼睑反射消失且宫腔操作5 min内无体动反应,判定为有效(阴性),反之即为无效(阳性),如为阴性环泊酚降低1个浓度梯度,反之升高1个浓度梯度.用Probit概率回归法计算半数有效剂量.结果 25例患者中12例阴性,13例阳性.环泊酚复合地佐辛用于无痛人流患者全麻诱导时环泊酚的半数有效剂量为0.346 mg·kg-1,95%置信区间为0.322~0.376 mg·kg-1.结论 环泊酚复合地佐辛用于无痛人流术患者环泊酚的半数有效剂量为0.346 mg·kg-1.
Median Effective Dose of Cyclopofol Combined with Dizocine Undergoing Painless Induced Abortion
Objective To measure the median effective dose cyclopofol combined with dizocine when patients undergoing painless induced abortion.Methods Twenty-five patients who planned to undergo painless induced abortion in the Second Affiliated Hospital of Zhengzhou University in November 2023 were included in the study,with a body mass index of 18-25 kg·m-2,cyclopofol combined with dizocine anesthesia.After intravenous injection of dizocine 2.5 mg,the dose of cyclopofol was given according to the sequential method,the initial dose was 0.33 mg·kg-1,the gradient was 0.02 mg·kg-1,and after anesthesia,the patient's eyelid reflex disappeared and there was no somatic reactions within 5 min of uterine cavity operation,which was judged to be valid(negative),otherwise it was invalid(positive),if judged to be negative,cyclopofol decreased by a gradient,contrarily a concentration gradient was increased.Sequential method was used and ED50 was calculated by Probit probability regression.Results There were 25 patients,of which 12 were negative and 13 were positive.The ED50 of cyclopofol in the induction of general anesthesia in patients with painless abortion was 0.346 mg·kg-1.The 95%confidence interval was 0.322-0.376 mg·kg-1.Conclusion Median effective dose of cyclopofol is 0.346 mg·kg-1 when cyclopofol combined with dezocine is used in patients underwent painless abortion.

cyclopofoldezocinepainless abortionmedian effective dose

茅晓玉、李梦倩、苏春侠

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郑州大学第二附属医院麻醉与围术期医学部,河南郑州 450014

环泊酚注射液 地佐辛 无痛人流术 半数有效剂量

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(9)
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