罗哌卡因与布比卡因舒芬太尼用于老年患者PCEA的比较分析  

Comparison of ropivacaine and bupivacaine combined with sufentanily used in PCEA for elder after operation

作　　者：张锐[1] 安万丰[1] 刘凤娟[1] 王宏伟[1] 

机构地区：[1]哈尔滨242医院麻醉科,150066

出　　处：《航空航天医药》2009年第2期91-92,共2页Aerospace Medicine

摘　　要：目的:研究罗哌卡因与布比卡因用于老年患者PCEA的比较分析。方法:108例病人随机分为3组,A组0.15%布比卡因组;B组0.12%罗哌卡因组;C组0.2%罗哌卡因组。麻醉为连续硬膜外麻醉,手术接近结束时连接PCEA泵。记录术后4、8、12、24、48h的镇痛效果。结果:VAS评分三组无显著性差异(P>0.05),Bromage评分A组高于B,C组(P<0.05),差异有显著性。结论:罗哌卡因较布比卡因组的患者术后活动能力恢复早,B组(0.12%罗哌卡因)用于老年术后患者为有效安全剂量。Objective： To compare the efficacy of ropivacaine with bupivacaine used by PCEA for elder patients after operation. Methods：108 cases were divided into three groups randomly, namely group A,B, C. Group A contained 0.15% bupivacaine; group B contained 0.12% ropivacaine;group C contained 0.2% ropivacaine.After operation,all patients had been injected into the different density of drug of analgesia through the pump of analgesia according to the group, then valuation the effect of analgesia and obervation of the side- effect according to 4,8,12,24,48h after operation. Results：Three groups had no obvious difference in value of VAS（ P 〉 0.05）. In group A had higher of the value,of bromage and more obvious difference than group B, C（ P 〈 0.05）. Conduslons： Postoperalive recovery in ropivacaine group was earlier than bupivacaine group.Group B（0.12% ropivacaine）had the effect and safty in analgesia to the elderly patient after operation.

关 键 词：罗哌卡因 布比卡因 老年患者 PCEA 

分 类 号：R614.42[医药卫生—麻醉学]