摘要
目的 :观察地塞米松对布比卡因硬膜外麻醉效果的影响。方法 :选择中等骨科手术患者 ,随机分为两组 ,A组采用 0 .75 %布比卡因 10ml+1%利多因卡因 2 0 0mg硬膜外麻醉 ;B组采用 0 .75 %布比卡因 10ml+1%利多卡因 2 0 0mg +地塞米松 10mg硬膜外麻醉 ,观察麻醉起效时间和术后镇痛时间。结果 :A、B两组麻醉起效时间和术后镇痛时间存在显著差异。结论 :采用地塞米松和布比卡因硬膜外麻醉镇痛起效快 ,镇痛效果可靠 ,副作用小 ,是一种良好的麻醉镇痛方法。
Aim: To evaluate the effect of epidural anesthesia and postoperative analgesia with dexamethasone and bupivacaine. Methods: 100 lower limb fracture patients were randomly distributed to two groups and adminitered with two different solutions in a blind manner. Solution A: bupivacaine 0.75% 10ml+lidocaine 1% 200mg. Solution B: 0.75% 10ml+lidocaine 1% 200mg+dexamethasone 10mg. The patients were observed for the starting time of anesthesia as well as the duration of anesthesia, and the lasting period of post operative analgesia. Results: There were obvious difference between the two groups in the starting time of anesthesia and the duration of post operative analgesia. Conclution: Bupivacaine in combination with dexamethasone for epidural anesthesia produced a rapid onset, longer lasting post operative analgesia with fewer aversive side effects.
出处
《中国疼痛医学杂志》
CAS
CSCD
2000年第2期83-84,共2页
Chinese Journal of Pain Medicine
