国际麻醉学与复苏杂志   2015, Issue (7): 3-3
    
依托咪酯诱导后肌阵挛预防策略研究进展
文雯, 王国年1()
1.黑龙江省哈尔滨市保健路省肿瘤医院麻醉科
依托咪酯诱导后肌阵挛预防策略研究进展
 全文:
摘要:

【摘要】背景 依托咪酯麻醉诱导引起肌阵挛日益引起关注,其相关机制尚不清楚。 目的 本文就依托咪酯诱导肌阵挛的预防策略进行综述,为临床上对该不良反应的预防策略的选用提供参考。 内容 本文就依托咪酯诱导肌阵挛的发生机制、易发因素、预防药物及方法进行综述,综合对比各种方法的利弊。 趋向 依托咪酯是一种经典的静脉麻醉药,尤其适合老年人或存在心血管疾病血流动力学不稳定的患者,只有了解其诱导肌阵挛的发生机制和预防策略,才能有效避免或者减少肌阵挛的发生,为临床提供更加安全、有效的用药指南。

关键词: 依托咪酯;肌阵挛;地佐辛;阿片类药物;右美托咪定
Abstract:

【Abstract】Background The myoclonus induced by etomidate has drawn more and more attention recently, but its mechanism is still unclear. Objective By reviewing the researches on the mechanisms and prevention of etomidate-induced myoclonus, we may provide some references for the prevention and solutions for myoclonus. Content Explain the mechanism of etomidate-induced myoclonus and summarize the preventions of myoclonus. Trend To explain the mechanism of etomidate-induced myoclonus and summarize the preventions of myoclonus and promote a safer and more effective application of etomidate.

Key words: etomidate; myoclonus; dexmedetomidine; dezocine; opioid