甲磺酸罗哌卡因在妇科手术的临床应用  

Clinical application of methansulfonic ropivacaine in gynecological operation

作　　者：刘凤娟[1] 王宏伟[1] 于淼舒[1] 

机构地区：[1]哈尔滨242医院,黑龙江哈尔滨150066

出　　处：《哈尔滨医药》2007年第3期12-14,共3页Harbin Medical Journal

摘　　要：目的评价甲磺酸罗哌卡因(8.94 mg/ml)用于妇科手术的麻醉效果。方法选择100例ASA分级Ⅰ～Ⅲ级子宫肌瘤的患者,硬膜外麻醉,随机分成两组,A组50例选用甲磺酸罗哌卡因;B组50例选用1.6%利多卡因加副肾1:20万。结果甲磺酸罗哌卡因作用时间长,毒副作用小,1次给药基本能满足手术需要;1.6%利多卡因加副肾1:20万由于作用时间短,需每45分钟追加1次麻药,相对用药量较多。Objective To evaluate the anesthesia effect of methansulfonic ropivacaine in gynecological operation Methods One hundred ASAⅠ - Ⅲ patients were randomly divided into two groups, methansulfonic ropivacains was given in groupA（n = 50）, 1.6 % lidocaine was given add adrinaline （ 1 ： 20 two hundred thousand） was given in groupB （ n = 50 ）, Conclusion Methansulfonic ropivacaine effiective time last longer, poisonous effect reduced, single injection can meet doctor＇s needs. Because 1.6% lidocanine add adrinaline1：20 two hundred＇thousand effective time last shorter,needing add anesthesia drugs every 45 minutes and need more drags

关 键 词：甲磺酸罗哌卡因 硬膜外阻滞 妇科手术 

分 类 号：R614[医药卫生—麻醉学]