摘要
目的 :评价罗哌卡因和布比卡因复合芬太尼用于妇科病人术后镇痛的效果。方法 :选择择期行妇科手术病人 60例 ,随机分为 2组 ,每组 3 0例。术后对其行硬膜外镇痛。A组 (罗哌卡因组 ) :0 2 %罗哌卡因 90mL(浓度为 0 18% ) +芬太尼 0 4mg +氟哌利多 5mg ;B组 (布比卡因组 ) :0 75 %布比卡因 2 4mL(浓度为 0 18% ) +芬太尼 0 4mg +氟派利多 5mg ,用生理盐水稀释至 10 0mL。两组推注速度均为 2 4mL h ,自控硬膜外镇前技术(PCEA)锁定时间为 1mL 15min。分别观察两组术后镇痛效果、下肢运动阻滞情况、首次肛门排气时间及并发症发生情况。结果 :两组患者镇痛效果无差异。A组患者下肢运动阻滞明显轻于B组 (P <0 0 1)。结论 :罗哌卡因比布比卡因更适合用于做妇科手术后病人自控镇痛的局部麻醉药。
Objective:To compare the effect of ropovacaine and bupivacaine combined with fentanyl on management of gynecologic postoperative pain.Method:A total of 60 patients with postoperative patient-controlled epidural analgesia after gynecologic surgery were randomized to group A and group B,30 in each.Group A received 0.2% ropovacaine 90 ml combined with other drugs and group B received 75% upivacaine 24 ml combined with the same drugs as group A.The patients were administered continuous epidural infusion at 24 ml per hour for each after the drugs in each group were diluted to 100 ml with normal saline.The effect of postoperative analgesia,motor block of lower limbs,time to first flatus and complications were observed.Results:The effect of postoperative analgesia was no significant difference between both groups,but the motor block of lower limbs in group A was significantly less than that in group B(P<0 01).Conclusion:We concluded that ropovacaine is better than bupivacaine in patients with postoperative patient-controlled epidural analgesia after gynecologic surgery.
出处
《九江医学》
2002年第3期133-134,共2页
Jiujiang Medical Journal
关键词
罗哌卡因
布比卡因
硬膜外自控镇痛
ropovacaine
bupivacaine
postoperative patient-controlled epidural analgesia
