《布托啡诺的麻醉应用》.pptVIP

;诺扬与其他药品的联用问题;诺扬是什么？;【名称】;;阿片受体;受体类型; 诺扬;诺扬与其他药品的联用问题;诺扬优势有哪些？;镇痛效价是吗啡的5~8倍1 同时治疗内脏痛和躯体疼痛，能够治疗中到重度疼痛;呼吸系统：呼吸抑制轻微仅为吗啡的1/5，1且具有封顶效应 循环系统：对心率和血压无明显影响2 胃肠道系统：恶心呕吐发生率低，仅为芬太尼、舒芬太尼的1/3，3对胃肠功能抑制轻微;药代动力学特点：快速起效、肝肾代谢;Vikramjeet Arora, et al. Comparative evaluation of recovery characteristics of fentanyl and butorphanol when used as supplement to propofol anaesthesia. 2. Kamal K, et al. Neuraxial opioid-induced pruritus: An update. 2013, 29(3): 303-307. 3. Schmelz M. Opioid-induced pruritus. Mechanisms and treatment regimens. Anaesthesist 2009;58:61-5. 4. Andrew D, et al. Spinothalamic lamina I neur