左旋布比卡因与罗哌卡因用于妇科手术硬膜外麻醉的比较  

COMPARISON OF LEVOBUPIVACAINE AND ROPIVACAINE IN PERIDURAL ANESTHESIA FOR GYNECOLOGICAL SURGERY

作　　者：张奎明[1] 

机构地区：[1]河南省南阳油田总医院麻醉科,南阳473132

出　　处：《现代预防医学》2011年第8期1582-1583,共2页Modern Preventive Medicine

摘　　要：[目的]探讨左旋布比卡因与罗哌卡因在硬膜外麻醉下的妇科手术中的应用。[方法]选择ASAⅠ～Ⅱ级患者149例,其中应用左旋布比卡因行硬膜外麻醉76例,为A组,应用罗哌卡因行硬膜外麻醉73例,为B组。观察患者的麻醉起效的时间(T0),完全起效时间(T1),麻醉持续时间(T2)、双下肢运动完全恢复时间(T3)及Bromage评分和药物的用量。[结果]两组在T0、T1、T2、T3及Bromage评分方面比较差异均有统计学意义(P﹤0.05),在药物用量方面差异无统计学意义(P﹥0.05)。[结论]罗哌卡因与左旋布比卡因硬膜外麻醉均可安全用于妇科手术,但左旋布比卡因效果较好。[Objective]To explore the uses of Levobupivacaine and ropivacaine for the epidural anesthesia for gynecological surgery.[Methods]149 patients with ASAⅠ-Ⅱ level were selected.76 cases were applied with Levobupivacaine for epidural anesthesia,and regarded as group A;73 cases were applied with ropivacaine for peridural anesthesia,and served as group B.We observed anesthesia effect-acting time（T0）,completely effect-acting period（T1）anesthesia duration（T2）,double lower limbs motion completely recovery time（T3）and the Bromage score and the use of drug dosage of the two groups.[Results]Two groups have obvious difference in T0,T1,T2 and T3 and the Bromage scoring in the two groups（P﹤0.05）.There was no significant difference in drug dosages of the two groups（P﹥0.05）.[Conclusion]The peridural anesthesia of ropivacaine and Levobupivacaine are all safe for gynecological surgery,but the Levobupivacaine＇s effect is much better.

关 键 词：左旋布比卡因 罗哌卡因 硬膜外麻醉 妇科手术 

分 类 号：R614.42[医药卫生—麻醉学]