Comparison of pharmacodynamics and circulatory function of domestic and imported rocuronium
10.3760/cma.j.issn.0254-1416.2011.05.002
- VernacularTitle:国产与进口罗库溴铵的药效学及对循环功能影响的比较
- Author:
Xinmin WU
;
Buwei YU
;
Zhanggang XUE
;
Bin LIU
;
Lize XIONG
;
Yun XUE
;
Min LI
;
Guorong TAO
;
Qian LI
;
Di YANG
;
Zhihong LU
- Publication Type:Journal Article
- Keywords:
Androstanols;
Neuromuscular blockade;
Dose-response relationship;
drug;
Blood circulation
- From:
Chinese Journal of Anesthesiology
2011;31(5):529-532
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the phaimacodynamics and circulatory function of domestic and imported rocuronium. Methods This is a five center study of rocuronium. Two hundred and ten ASA Ⅰ or Ⅱ patients aged 18-65 yr undergoing elective surgery under general anesthesia were randomly divided into 2 groups (n = 105 each): domestic rocuronium group (group Ⅰ ) and imported rocuronium group (group Ⅱ ) . Anesthesia was induced and maintained with TCI of propofol (target plasma concentration = 3 mg/L) and remifentanil (target effect-site concentration = 2-4 μg/L) . Tracheal intubation was facilitated with intravenous rocuronium 0.6 mg/kg. The N-M function was assessed by accelerography (TOF-Watch(R) SX, Organon, Netherlands) using TOF stimulation of ulnar nerve. Onset time, clinical duration, 75% recovery time,recovery indexes, the extent of maximal NM blockade and intubation conditions (ease of laryngoscopy, position of vocal cords and airway reaction) were monitored and recorded. BP and HR were also recorded. Results There were no significant differences in the onset time, clinical duration, recovery indexes, the extent of maximal N-M blockade, the intubation conditions, BP, HR and adverse reactions between groups Ⅰ and Ⅱ ( P ＞ 0.05) . The 75% recovery time was significantly longer in group Ⅱ than in group Ⅰ (P ＜ 0.05＝. Conclusion The pharmacodynamics of domestic and imported rocuronium is comparable. The two drugs have no adverse effect on the circulatory function.
