碳酸利多卡因与盐酸利多卡因硬膜外麻醉在阑尾术中的效果比较

Compare of the Effect of Epidural Anaesthesia with Lidocaine Carbomid and Lidocaine Hydrochlorid in Appendix Excising Operation

目的 比较碳酸利多卡因与盐酸利多卡因硬膜外麻醉在阑尾术中的效果。方法 分成 2组 ,分别使用碳酸利多卡因和盐酸利多卡因行硬膜外麻醉。记录麻醉平面出现时间 (min) ,麻醉阻滞完善时间 (min) ,首剂局麻药总量 ,有无牵拉反应。监测麻醉前 ,麻醉后 5min ,10min ,2 0min时的SBP ,DBP ,HR ,SpO2 ,并观察用药后有无寒战发生。结果 观察组麻醉平面出现时间快 (P <0 .0 1) ,麻醉开始至麻醉阻滞完善时间短 (P <0 .0 1) ,观察组有牵拉反应者明显少于对照组 ,首剂麻药总量 ,碳酸利多卡因少于盐酸利多卡因 (P <0 .0 5 ) ;两组对呼吸、循环的影响无显著差异 ,观察组发生寒战者少于对照组。结论 碳酸利多卡因比盐酸利多卡因更适合像阑尾切除这种历时短的手术。

Objective To compare the effect of epidural anaesthesia with Lidocaine carbomid and Lidocaine hydrochlorid in appendix excising operation Methods The patients were divided into C(Lidocaine carbomid)group and H(Lidocaine hydrochlorid)group and were anaesthetized The time of appearing anaesthesia plane, the time of finishing anaesthesia block, gross of anaesthetic, pulling reaction were noted The SBP, DBP, HR, SpO 2 at 5, 10, 20 minute after anaesthesia were inspected Weather the chill happened was noted Results The time of appearing anaesthesia plane was earlier, the time of finishing anaesthesia block was shorter, the patients of appearing pulling reaction was less and the gross of anaesthetic was less in the C group No markedly influences to breath and circular were found in the two groups The patients occuring chill were less in the C group Conclusion Lidocaine carbomid was fitter than Lidocaine hydrochlorid in operation lasting short time as appendix excising operation