罗哌卡因碳酸利多卡因在高位硬膜外麻醉下乳房手术中的应用

The application of ropivacaine-lidocaine carbonate during the operation on breast under epidural anesthesia of elevation

目的 观察 0 2 5 %罗哌卡因 +0 865 %碳酸利多卡因在高位硬膜外麻醉下乳房手术中的麻醉效果。方法 选择拟在高位硬膜外麻醉下行乳房手术的病人 60例 ,随机分为两组 ,各 30例。观察组采用0 2 5 %罗哌卡因 +0 865 %碳酸利多卡因 ,对照组采用 0 2 5 %布比卡因 +0 865 %碳酸利多卡因 ,观察两组麻醉起效时间、麻醉持续时间、最高感觉阻滞平面、总用药量、最高Bromage评分及术后运动阻滞完全恢复时间。结果 观察组起效时间比对照组出现快 ,但无统计学意义。持续时间、最高感觉阻滞平面、总用药量和对照组差异无显著意义。而在最高Bromage评分及术后运动阻滞完全恢复时间两组间差异有显著意义 (P <0 0 5)。结论 0 2 5 %罗哌卡因 +0 865 %碳酸利多卡因可完全满足高位硬膜外麻醉下乳房手术的要求 。

Objective To observe the anesthetic effect of 0.25% ropivacaine plus 0.865% lidocaine carbonate during the operation on breast under epidural anesthesia of elevation.Methods Sixty patients who accepted the operation on breast under epidural anesthesia of elevation were studied.They were randomly divided into two groups.The observing group was administered with 0.25% ropivacaine plus 0.865% lidocaine carbonate.The control group were administered with 0.25% bupivacaine plus 0.865% lidocaine carbonate.We observed both groups about the time when anesthesia worked,the maintenance time of anesthesia,the highest level of sense obstacle,the total administered dose,the most Bromage score,and the recovery time for sense obstacle after operation.Results The working time in the observing group was faster than that in the control group,but it was of no statistical significance.There was no statistically difference between both group about the maintenance time of anesthesia,the highest level of sense obstacle and the total administered dose.But the most Bromage score and the recovery time for sense obstacle after operation in the observing group differed obviously from that in the control group(P<0.05).Conclusion 0.25% ropivacaine plus 0.865% lidocaine carbonate could fully meet the requirement of the operation on breast under epidural anesthesia of elevation.And it was better than bupivacaine,the traditional anesthesia,that the movement obstacle was weaker and the recovery time for the movement obstacle was faster.