耐乐品与布比卡因用于低位硬膜外阻滞的比较

             作者：吴庭英, 莫劲思, 罗建刚

【关键词】  ,,硬膜外

    摘  要：目的：比较0.5% 耐乐品和0.5% 布比卡因对低位硬膜外麻醉的临床效果和安全性。方法：40例在硬膜外麻下施行下腹部手术的妇产科患者(ASAⅠ ～Ⅱ 级) 随机分为二组, 耐乐品组:05% 耐乐品(n= 20 例) ; 布比卡因组: 05% 布比卡因(n= 20 例)。取L 2～ 3行硬膜外穿刺, 注入首次剂量耐乐品或布比卡因8～10ml, 总量不超过20m l。观察两组病人用药总量、感觉阻滞范围和起效时间和副作用。结果：两组病人用药总量、感觉阻滞范围和起效时间无明显差异。耐乐品组止痛时间、肌松效果和感觉运动阻滞分离较布比卡因组强, 耐乐品组 低血压发生率较布必卡因高。结论：耐乐品组止痛时间、肌松效果和感觉运动阻滞分离较布比卡因组强。0.5% 耐乐品比0.5% 布比卡因在低位硬外麻中效果好。

　　关键词：  布比卡因；  耐乐品；  麻  醉；  硬膜外

　　Comparison between Naropin and Bupivacaine Used in Lower Level Epidural Obstruction

　　Abstract： Objective: To compare 0.5% Naropin with 0.5% Bupivacaine in clinical effect and safe for epidural anesthesia. Method: 40 cases of patients (ASA I II grades) who are operated on lower abdomen under epidural anesthesia are divided into two groups; Naropin group: 0.5% Naropin (n = 20 cases); Bupivacaine group: 0.5% Bupivacaine (n = 20 cases). Taking L2～3 lines epidural puncture to be initially injected for Naropine or Bupivacaine 8～10 ml, gross dosage doesn’t exceed 20 ml. To observe two groups of patients who use gross medicine dosage, feeling obstruction scope, effect of initial taking medicine and side effect. Result: The difference between two groups using gross medicine dosage, feeling obstruction scope, effect of initial taking medicine is not clear; The Naropin group stopping pain time, muscle relaxing effect and feeling movement obstruction separation are relativ

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