罗哌卡因和布比卡因低位硬膜外麻醉临床效果比较  

Compare the effect of lumber epidural block with bupivacaine and ropivacaine in same concentration a nd volume

作　　者：秦红[1] 魏昕[1] 方才[1] 

机构地区：[1]安徽省立医院麻醉科,合肥230001

出　　处：《安徽卫生职业技术学院学报》2003年第5期40-42,共3页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:比较罗哌卡因与布比卡因在等浓度、容积条件下用于硬膜外麻醉临床效果有何差异。方法:77例拟行下腹部或下肢手术病人随机分成4组:0.5%罗哌卡因组(n=19)、0.75%罗哌卡因组(n=20)、0.5%布比卡因组(n=20)、0.75%布比卡因组(n=18),均行L2～4硬膜外阻制,分别于切皮前分次给予0.5%、0.75%罗哌卡因或布比卡因,记录药物起效时间、阻滞平面、感觉和运动阻滞时间及程度以及血流动力学变化情况。结果:77例病人各项指标及用药量、麻醉效果等方面均无明显区别。结论:在等浓度、容积条件下罗哌卡因与布比卡因的临床疗效无明显差别,临床使用时不必一味的强调高浓度。Objective To compare the effect of epidural blo ck with isoconcentrational and isovolumic bupivacaine(BUP)and ropivacain(ROP ).Methods77patients undergoing for lower lim bs and abdominal surgeries were randomly dividedinto four groups:0.5%BUPgroup(n=20),0.75%BUPgro up(n=18),0.5%ROPgroup(n=19),0.75%ROP group(n=20),the time to maximumspread of anesth esia,blockage level,sensory and mo ter block d egree and recovery time were recorded.Results No significant difference was fou nd among four groups in all data.Conclusion With the same concentration and vol u me,both bupivacaine and ropivacain e can reach the same clinical effect.

关 键 词：罗哌卡因 布比卡因 硬膜外麻醉 

分 类 号：R614[医药卫生—麻醉学]