左旋布比卡因与罗哌卡因在下腹手术腰硬联合麻醉的比较  

Comparison of Levobupivacaine and Ropivacaine in Combined Spinal Epidural Anesthesia for Lower Abdominal Surgery

作　　者：蒋轶岭[1] 

机构地区：[1]江苏省常州市第三人民医院麻醉科,江苏常州213000

出　　处：《中国继续医学教育》2017年第24期74-75,共2页China Continuing Medical Education

摘　　要：目的探究左旋布比卡因与罗哌卡因用于下腹部手术腰硬联合麻醉的临床作用对比。方法纳入我院90例2016年1月—2017年3月下腹部手术患者,根据施行方法分对照组、观察组。对照组采用罗哌卡因进行腰硬联合麻醉;观察组采用左旋布比卡因进行腰硬联合麻醉。比较两组患者下腹部手术麻醉效果;感觉阻滞时间、运动神经恢复时间、Bromage分值;低血压等不良反应发生率。结果观察组患者下腹部手术麻醉效果和对照组对比,差异有统计学意义,P<0.05;两组感觉阻滞时间对比,差异无统计学意义,P>0.05。结论左旋布比卡因与罗哌卡因用于下腹部手术腰硬联合麻醉的临床效果均确切,但左旋布比卡因术后麻醉作用可更快恢复,减少不良反应发生,安全性更高。Objective To compare the clinical effect of levobupivacaineand ropivacaine in combined spinal epidural anesthesia for lowerabdominal surgery. Methods From January 2016 to March 2017, 90 casesof abdominal surgery in our hospital were divided into control group andobservation group according to the implementation methods. The controlgroup was treated with ropivacaine for combined spinal epidural anesthesia;observation group was treated with levobupivacaine for combined spinaepidural anesthesia. Comparison of two groups of patients with lowerabdominal surgery anesthesia effect; sensory block time, motor nerverecovery time and Bromage score; incidence of hypotension and otheradverse reactions was cenducted. Results Observation group of patientswith lower abdominal surgery anesthesia efect compared with the controlgroup, the difference was statistically significant, P 〈 0.05; there was nosignifcant diference in sensory block time between the two groups, P 〉0.05. Conclusion The clinical effect of levobupivacaine and ropivacainein combined spinal epidural anesthesia for lower abdominal surgery wereefective, but the levobupivacaine anesthesia can recover faster, reduce theincidence of adverse reactions, higher safety.

关 键 词：左旋布比卡因 罗哌卡因 下腹部手术 腰硬联合麻醉 临床作用 

分 类 号：R614[医药卫生—麻醉学]