碳酸利多卡因用于硬膜外阻滞下急症剖宫产术临床效果的评价  

The effects of lidocaine carbonate for epidural anesthesia in emergency Cesarean section

作　　者：杨晓秋[1] 蒋夏[1] 

机构地区：[1]重庆医科大学附属第一医院,重庆400016

出　　处：《四川医学》2001年第4期354-355,共2页Sichuan Medical Journal

摘　　要：目的　比较 1.73%碳酸利多卡因和 2 %盐酸利多卡因用于硬膜外阻滞下急症剖宫产术的临床效果 ,为其临床应用提供客观依据。方法　 30例急症剖宫产术产妇 (ASA1～ 2级 ) ,随机分为两组 ,每组各 15例。均采用硬膜外阻滞 ,所用局麻药 组为 1.73%碳酸利多卡因 , 组为 2 %盐酸利多卡因。结果　两组产妇局麻药总容积、阻滞平面无明显差异 ,对血压、心率、Sp O2 影响均较小 ,新生儿出生后 2分钟 Apgar评分均在 9分以上。但 组起效快 ,阻滞完善时间明显缩短 ,止痛和肌松效果好。结论　用于硬膜外阻滞急症剖宫产手术 。Objective In this study was made a comparison between the effect of 1.73% lidocaine carbonate and that of 2% lidocaine hydrochloride for epidural anesthesia in emergency Cesarean section;the purpose was to provide a theoretical basis for the clinical application of lidocaine.Methods Thirty emergency Cesarean section parturients(ASA1～2)were divided evenly and randomly into two groups.All patients were subjected to epidural anesthesia.Group Ⅰ received 1.73% lidocaine carbonate as local anesthetics and group Ⅱ received 2% lidocaine hydrochloride.Results There were no significat differences of total doses and anesthetic levels between the two groups.Less changes of blood pressure,heart rate and SpO 2 were observed in the two groups.Neonate Apgar scores were all over9. But in group Ⅰ the onset time and complete time of sensory block were significantly shorter,and more satisfactory analgesia and muscle relaxation were obtained,compared with those in group Ⅱ.Conclusion The above data suggest that lidocaine carbonate be more satisfactory than lidocaine hydrochloride for epidural anesthesia in emergency Cesarean section.

关 键 词：碳酸利多卡因 硬膜外阻滞 急症 剖宫产术 

分 类 号：R614.42[医药卫生—麻醉学]