左旋布比卡因与布比卡因硬膜外阻滞在急诊剖宫产术中麻醉效果的比较  

Comparison of anesthesia efficacy of levobupivacaine and bupivacaine in epidural block for an emergency cesarean section

作　　者：宋正川[1] 丁晓英[1] 李伟[1] 吴刚[1] 

机构地区：[1]西安交通大学医学院第二附属医院麻醉科,西安710004

出　　处：《山西医科大学学报》2008年第10期946-948,共3页Journal of Shanxi Medical University

摘　　要：目的比较0.75%左旋布比卡因与0.75%布比卡因用于急诊剖宫产硬膜外阻滞的麻醉效果与不良反应。方法50例ASAⅠ-Ⅱ级急诊剖宫产患者分为两组,即0.75%左旋布比卡因组(L组,n=25)和0.75%布比卡因组(B组,n=25)。硬膜外穿刺部位均为L1-2间隙,每组硬膜外首剂量均为2%利多卡因5ml(试验量),随后加入0.75%左旋布比卡因或布比卡因10ml。评定麻醉期间的镇痛效果、感觉阻滞、运动阻滞情况、不良反应和辅助用药情况。结果感觉阻滞、镇痛效果和运动阻滞情况两组间差异无统计学意义(P>0.05),且均未见明显不良反应。结论0.75%左旋布比卡因与0.75%布比卡因用于急诊剖宫产硬膜外阻滞的麻醉效果无明显差异。Objective To compare the anesthesia efficacy of 0.75% levobupivacaine and 0.75% bupivacaine in epidural block for an emergency cesarean section. Methods Fifty patients（ASAⅠ - Ⅱ ）scheduled for the emergency cesarean section were divided into two groups（ n = 25 in each group）. Epidural puncture and catheterization were carried out routinely, and 0.75 % levobupivacaine in group L and bupivacaine in group B were used for epidural block. The onset and duration of analgesia, sensory block, degree of motor block and side effects were recorded and compared. Results There was no significant difference in the profiles of sensory block, analgesia and motor block as well as adverse events between two groups（ P 〉 0.05 ）. Conclusion The 0.75 % levobupivacaine and 0.75% bupivacaine have similar anesthesia efficacy in epidural block for the emergency cesarean section.

关 键 词：左旋布比卡因 布比卡因 硬膜外阻滞 刮宫产术 急诊 

分 类 号：R614.42[医药卫生—麻醉学]