罗哌卡因与布比卡因在臂丛神经阻滞麻醉中的比较  

Comparison of ropivacain'e and bupivacaine in nerve blocking anesthesia of brachiplex

作　　者：任旭东[1] 贾鹤龄[1] 冷玉芳[1] 

机构地区：[1]兰州大学第一医院麻醉科,甘肃兰州730000

出　　处：《兰州大学学报（医学版）》2008年第1期76-78,共3页Journal of Lanzhou University（Medical Sciences）

摘　　要：目的0.5%、0.75%罗哌卡因与0.3%布比卡因对腋窝入路臂丛神经阻滞的麻醉效果比较。方法按美国麻醉医师协会分级标准Ⅰ～Ⅱ级,将60例预施臂丛神经组滞麻醉的手术患者随机分成3组,每组20例,分别给予30 mL 0.5%、0.75%罗哌卡因和0.3%布比卡因实施腋窝入路臂丛神经阻滞麻醉,观察麻醉起效时间、维持时间及麻醉效果等。结果麻醉药平均起效时间0.5%、0.75%罗哌卡因组小于0.3%布比卡因组(P<0.05);外科手术的等待时间0.5%、0.75%罗哌卡因组比0.3%布比卡因组显著缩短(P<0.05、P<0.01)。结论罗哌卡因用于臂丛神经阻滞麻醉比布比卡因起效迅速、镇痛持续时间长,麻醉效果满意。Objective To compare the anesthetic effects of ropivacaine and bupivacaine in nerve blocking anesthesia of brachiplex. Methods 60 patients were allocated randomly to receive brachiplex blocking anesthesia with 30 mL of 0.5% ropivacaine （n=20）, or 0.75% ropivacaine （n=20） or 0.3% bupivacaine （n=20）. Results Average onset time of brachiplex blocking anesthesia with ropivacaine was sooner than with bupivacaine （P 〈0.05）. Preoperative waiting time was shorter with ropivacaine than with bupivacaine （P 〈0.01）. Conclusion Ropivacaine has a shorter onset time and prolonged postoperative analgesia than bupivacaine in nerve blocking anesthesia of brachiplex..

关 键 词：臂丛神经阻滞 罗哌卡因 布比卡因 

分 类 号：R971.2[医药卫生—药品]