低浓度罗哌卡因复合碳酸利多卡因用于股神经坐骨神经联合阻滞的效果观察  

The observation of low concentration of ropivacaine and lidocaine carbonate on femoral nerve combined with sciatic nerve block

作　　者：栾海云[1] 李晓强 孙雪华[3] 

机构地区：[1]滨州医学院药学实验中心,烟台264003 [2]解放军107医院麻醉科 [3]滨州医学院麻醉教研室

出　　处：《滨州医学院学报》2015年第4期268-269,共2页Journal of Binzhou Medical University

摘　　要：目的观察低浓度罗哌卡因复合碳酸利多卡因行股神经、坐骨神经联合阻滞用于下肢手术的麻醉效果。方法 120例行单侧下肢手术患者,用0.125%罗哌卡因和0.43%碳酸利多卡因以神经刺激仪引导行股神经、坐骨神经联合阻滞,观察麻醉起效时间、完善时间及镇痛时间,评价麻醉优良率。结果麻醉起效时间(4.8±0.7)min,完善时间(14.6±1.5)min,镇痛时间(6.62±2.03)h。麻醉效果优良率达98.3%。结论低浓度罗哌卡因复合碳酸利多卡因可安全有效地用于股神经、坐骨神经联合阻滞。Objective To observe the effect of low concentration of ropivacaine and lidocaine carbonate on femoral nerve com- bined with sciatic nerve block. Methods One hundred and twenty patients who needed operations on single low limb were en- rolled. Under the guide of nerve stimulator,femoral nerve and sciatic nerve were blocked using low concentration of ropivacaine （0. 125%） and lidocaine carbonate（0.43% ）, the onset time, perfect time and analgesia time were recorded. The anesthetic effect was evaluated. Results The onset time were [ 4.8 ±0.7 ） rain, the perfect time [ 14.6 ±1.5） rain and the analgesia time were（6. 62±2.03） h. The excellent rate of anesthesia was 98.3%. Conclusion It was a safe and effective method for nerve block using low concentration of ropivacaine and liduocaine carbonate .

关 键 词：罗哌卡因 碳酸利多卡因 神经阻滞 神经刺激仪 

分 类 号：R614[医药卫生—麻醉学]