甲磺酸罗哌卡因与盐酸罗哌卡因用于颈丛神经阻滞的临床观察

Clinical Observation of Ropivacaine Mesylate and Ropivacaine Hydrochloride in Cervical Pexus Block

目的比较0.447%甲磺酸罗哌卡因与0.375%盐酸罗哌卡因用于颈丛神经阻滞的有效性和安全性。方法80例甲状腺手术患者随机分为两组,对照组应用0.375%盐酸罗哌卡因颈丛神经阻滞;试验组应用0.447%甲磺酸罗哌卡因颈丛神经阻滞。结果在感觉和运动阻滞的起效时间、效果及效果维持时间以及不良反应方面,0.447%甲磺酸罗哌卡因与0.375%盐酸罗哌卡因未见明显的差异。结论0.447%甲磺酸罗哌卡因与0.375%盐酸罗哌卡因应用于颈丛神经阻滞,具有相似的麻醉效果。

Objective To compare the clinical effectiveness of ropivacaine mesylate cervical plexus block and ropivacaine hydrochloride cervical plexus block in thyroidectomy. Methods Eithty patients undergoing thyroidectomy were divided randomly into the control group treated by 0.375% ropivacaine hydrochloride cervical plexus block and experiment group treated by 0. 447% ropivacaine mesylate cervical plexus block. Results There was no significant difference between the two groups on the initiating or lasdng time of effectiveness and adverse reaction. Conclusion In thyroidectomy, ropivacaine hydrochloride cervical plexus block and ropivacaine mesylate cervical plexus block possess similar efficacy.