摘要
目的：比较盐酸罗哌卡因与盐酸布比卡因高位硬膜外麻醉的临床效果和安全性。方法：选择ASAⅠ～Ⅱ级择期乳腺癌手术病人40例，随机分为2组，行T2—3间隙穿刺置管，I组注入0．375％盐酸罗哌卡因，Ⅱ组注入0．375％盐酸布比卡因，观察阻滞效果及HR、MAP、肺功能。结果：两组麻醉效果无差异，Ⅱ组对HR、MAP、肺功能抑制较强。结论：用0．375％盐酸罗哌卡因与0．375％盐酸布比卡因高位硬膜外麻醉，两者均具有相似的临床效果，0．375％盐酸罗哌卡因比0．375％盐酸布比卡因安全。
Objective： To compare the clinical effectiveness and safeness of ropivacaine hydrochloride and bupivacaine hydrochloride for the elevation epidural anesthesia. Method： Through selected 40 breast carcinoma patients of ASA Ⅰ～Ⅱ grade who need choose time operation, randomly divided for 2 groups, punctured the tube between the T2 - 3 interspace. The group I injected with 0. 375% ropivacaine hydrochlo- fide, and the group 11 injeeted with 0. 375% bupivacaine hydroehloride, to observe the blocking effective- ness,HR ,MAP and pulmonary function. Result： The blocking effectiveness between two groups have no difference, but the HR.MAP and pulmonary function inhibition stronger in the group 11. Conclusion： Both of them have similar clinical effectiveness for the elevation epidural anesthesia, used with 0.375% ropivacaine hydrochloride and 0. 375% bupivacaine hydrochloride, but the first one is safer.
出处
《河北医学》
CAS
2009年第1期7-9,共3页
Hebei Medicine
关键词
盐酸罗哌卡因
盐酸布比卡因
硬膜外阻滞
循环功能
肺功能
Ropivacaine hydrochloride
Bupivacaine hydrochloride
Epidural anesthesia
Circulation function
Pulmonary＂ function
