罗匹卡因和布匹卡因用于颈丛神经阻滞效果比较  

The Comparison of 0.25% Ropivacaine and 0.25% Bupivacaine in Cervical Plexus Block Effect

作　　者：张兆平[1] 高宏[1] 

机构地区：[1]江苏省无锡市第五人民医院麻醉科,214073

出　　处：《医学理论与实践》2004年第4期379-380,共2页The Journal of Medical Theory and Practice

摘　　要：目的 :观察比较 0 .2 5 %罗匹卡因和 0 .2 5 %布匹卡因分别用于颈丛神经阻滞的起效时间和镇痛效果。方法 ::全组 30例 ,ASAⅠ～Ⅱ级 ,随机分为两组 ,每组 15例。观察其各组神经阻滞效时间 ,术中需局麻药浸润例数 ,对病人术中舒适度和术后 1,2和 3h进行VAS疼痛评分。结果 :两组病人颈丛神经阻滞起效时间 ,辅用局麻药浸润例数和舒适度评分均相似 ,P >0 .0 5。布匹卡因组术后 2和 3hVAS评分较低 (P <0 .0 5 )。结论 :罗匹卡因用于颈丛神经阻滞时不比布匹卡因作用占优势。Objective: To compare the effect of 0.25% ropivacaine and 0.25% bupivacaine in effect of cervical plexus block (CB). Methods :Thirty ASAⅠ～Ⅱ adult patients were randomly and equally divided into two grorups. The onset of anesthetic block, the requirement for supplementation during the surgery and the patients' satisfaction were observed the postoperative pain was evaluated on a visual analog scale (VAS) at 1 , 2 , and 3h . Results: Patients in both groups had equivalent onset of CB (P>0.05). Local infiltration with lidocaine during surgery, and satisfaction scores. In the bupivacaine group postoperation pain VAS was lower at 2 and 3h . Conclusion: Ropivacaine has no advantage over bupivacaine for CB.

关 键 词：罗匹卡因 布匹卡因 颈丛神经阻滞 麻醉 术后镇痛 

分 类 号：R614.4[医药卫生—麻醉学] R971.2[医药卫生—外科学]