摘要
目的：比较0．75％盐酸罗哌卡因与0．75％盐酸布比卡因在腰麻硬膜外联合阻滞中的效果。方法：50例择期妇科手术患者（ASAⅠ～Ⅱ级）随机分为两组（n=25）。分别用0．75％罗哌卡因2ml和0．75％布比卡因2ml行蛛网膜下腔阻滞。观察两组感觉、运动阻滞起效及恢复时间和用药后的不良反应。结果：两组感觉阻滞起效时间、恢复时间无明显差异。运动阻滞起效时间罗哌卡因明显慢于布比卡因（P〈0．05），运动恢复时间明显快于布比卡因（P〈0．05）。结论：0．75％罗哌卡因用于腰麻能达到完善的麻醉效果，感觉阻滞与0．75％布比卡因相似，运动阻滞起效慢，但恢复迅速。
Objective： To compare the effect of ropivaeaine and huplvacaine HCI for spinal-epidural anaesthesia. Methods.. Fifty ASA Ⅰ～Ⅱ patients with either 2ml 0.75% bupivacaine HCI （control group, n = 25） or 2ml 0.75% ropivaeaine HCI （study group, n = 2S） were performed spinal-epidural anaesthesia in my hospital. Appear-time and renew-time of sense and motor blockade were observed and recoded. The badness reactions were reeoded too. Results：There were no evident differences in sense blockade and renew-time between tow groups. The ropivaeaine appear-time of motor blockade is slower than the bupivacaine （ P 〈0.05） significantly. The ropivacalne renew-time of motor is swifter than the bupivacaine （ P 〈 0.05 ） significantly. Conclusion ：0.75 % ropivaeaine can be used for the spinal-epidural anaesthesia with perfect in anaesthesia effect. There were no evident differences in sense blockade between two groups. The ropivacaine motor blockade was slower and renew-time was speeder.
出处
《沈阳医学院学报》
2006年第1期28-29,共2页
Journal of Shenyang Medical College
关键词
罗哌卡因
腰麻
妇科手术
布比卡因
ropivacaine
spinal anaesthesia
woman operation
bupivacaine
