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0.75%罗比卡因与0.75%布比卡因腰麻-硬膜外联合麻醉应用于剖宫产手术的评价 总被引:13,自引:0,他引:13
目的 比较 0.75%罗哌卡因与 0.75%布比卡因腰麻硬膜外联合麻醉用于剖宫产手术的可行性。方法 ASA-Ⅰ~Ⅱ级初产妇40例于腰硬联合麻醉下行剖宫产手术,随机、双盲分两组:R组(n=20)腰麻用药为0.75%罗哌卡因1.2~1.4ml(9-10.5mg)出组(n=20)腰麻用药为0.75%布比卡因,剂量同R组。术中两组麻醉效应不足时经硬膜外导管补充1.6%利多卡因。术中连续监测呼吸和循环状况,评估麻醉效应,并观察围术期不良反应的发生及新生儿情况。结果 两组最高阻滞平面及达到时间相似(P>0.05),但R组感觉和运动神经阻滞起效慢,维持时间短(P<0.05);下肢运动阻滞程度R组显著低于B组(P<0.01);术中R组有4例(20%)发生心动过缓,B组5例(25%)出现主观气促感;新生儿 Apgar评分及脐动脉血气值在正常范围内.两组比较无差异(P>0.05)。结论 0.75%罗哌卡因用于硬腰联合麻醉剖腹产手术安全有效,与0.75%布比卡因相比,下肢运动阻滞弱且恢复迅速。 相似文献
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罗哌卡因含或不含肾上腺素硬膜外麻醉的药效学和药代动力学 总被引:10,自引:2,他引:8
目的观察肾上腺素对1%罗哌卡因硬膜外阻滞的药效学和药动学影响。方法选择ASAⅠ~Ⅱ级行下腹部手术病人16例,随机分为两组,每组8例。分别用1%罗哌卡因2mg· kg~-1(R组)和加入1: 200 000肾上腺素的 1%罗哌卡因 2mg· kg~-1(RE组)行硬膜外阻滞,对比两组药效学和药代动力学指标。结果两组药效学指标、Cmax和AUC间均无显著性差异。与R组相比,RE组的Tmax明显后延(P<0.01),K值明显降低(P<0.05)。结论 1:200 000肾上腺素对1%罗派卡因硬膜外阻滞的药效学没有影响,但可以减缓罗哌卡因的吸收和清除。 相似文献
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为了逆转了哌卡因硬膜外阻滞,缩短术后运动神经阻滞时间,我们对采用0.75%丁哌卡因行腰部硬膜外阻滞的手术患者,在手术终末时经硬膜外导管向硬膜外腔注入生理盐水,并对其效果进行了比较观察,现报告如下。资料和方法选择60例年龄17~32岁先天性阴茎畸形行阴茎延长术的择期手术患者作为观察对象。所有病例术前均无心血管及神经系统疾患,肝、肾功能正常。术前半小时肌注阿托品0.5mg和苯巴比妥钠0.1g、在右侧卧位下于L2~3行硬膜外穿刺,向头端留置硬膜外导管于硬膜外腔3cm。平卧后注入0.75%丁哌卡因5ml… 相似文献
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罗哌卡因胸段硬膜外阻滞对急性心肌缺血/再灌注损伤的保护作用 总被引:12,自引:3,他引:9
目的 探讨罗哌卡因胸段硬膜外阻滞对急性心肌缺血再灌注损伤的保护作用。方法 健康杂种犬18条,随机分为罗哌卡因组(Ⅰ组)、布比卡因组(Ⅱa组)和生理盐水组(Ⅱb组),表解雇洽麻后控制呼吸,T6-7间隙穿刺置入硬膜外导管,按分组分别硬膜外注射0.5%罗哌卡因、0.5%布比卡因或生理盐水12ml、15min后,阻断左冠状动脉45min。分别在给药前和开放后6h抽取右心房血。轻Cardiac试剂条测定血浆心肌肌钙蛋白T(cTnT)浓度,并取左心室梗塞区心肌组织作透射电镜观察。结果 阻断前血浆cTnT浓度三组均〈0.05ng/L。开放6h三组各有4例升高、2例无变化,其中Ⅰ组4例均〈0.1ng/L,Ⅱa组2例〈0.1mg/L、2例介于0.1~3ng/L,Ⅱb组4例均介于0.1~3ng/L。Ⅰ组与Ⅱb组比较有显著性差异(P 相似文献
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UPPLEGGER H 《Der Chirurg》1954,25(12):555-558
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C.C. Callander 《Anaesthesia》1988,43(12):1061-1061
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Khosla A Misra S Greene EL Pflueger A Textor SC Bjarnason H McKusick MA 《Vascular and endovascular surgery》2012,46(6):447-454
Purpose: To compare the clinical outcomes in patients with chronic renal insufficiency (CRI) and renal artery stenosis (RAS) following renal artery (RA) stent placement with and without embolic protection device (EPD) usage. Materials and Methods: Eighteen patients who had RA stent placement with EPD were matched to control patients (RA stent only). Blood pressure, number of hypertensive medications, and estimated glomerular filtration rate (eGFR) at 3 months before the procedure and after 12 months were determined. An increase of ≥ 20% in eGFR at 12 months from baseline was defined as "improvement," decrease of ≥20% as "deterioration," and an eGFR change between those values as "stabilization" at 12 months. Results: At 12 months, stage 4 patients treated with EPD had significantly higher eGFR than controls (P = .01). There was no statistical difference in blood pressure outcomes between the 2 groups. Conclusions: Patients with stage 4 CRI did significantly better with EPD than those treated without it. 相似文献
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Intubation with propofol augmented with intravenous lignocaine 总被引:6,自引:0,他引:6
D. Mulholland MB BCh FFARCS FFARCSI Registrar R. J. T. Carlisle MB BCh FFARCSI Consultant 《Anaesthesia》1991,46(4):312-313
Sixty patients of ASA grade 1 and aged 18 to 55 years were admitted to a double-blind study. Anaesthesia was induced with propofol 2.5 mg/kg after intravenous pretreatment with lignocaine 1.5 mg/kg or a similar volume of isotonic saline. The quality of subsequent tracheal intubation was graded and the pressor response to tracheal intubation assessed. There were no significant differences between treatment groups. 相似文献
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Chirag Shah 《Annals of surgical oncology》2018,25(13):3793-3794
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510例腹腔镜联合纤维胆道镜胆总管切开取石术的临床应用 总被引:3,自引:0,他引:3
目的探讨腹腔镜联合纤维胆道镜治疗胆总管结石的可行性及临床应用价值。方法1998年~2007年对510例患者行腹腔镜胆总管切开取石(laparoscopic common duct exploration,LCDE),与同期300例开腹(opensurgery,OS)手术者比较。术前确诊者,术中直接行胆总管切开胆道镜取石;术前有黄疸史、胰腺炎史和(或)直接胆红素增高、胆系酶(AKP、GGT)增高者,或胆总管在0.8cm以上者行术中造影,明确有胆总管结石的切开胆总管胆道镜取石。405例置T管引流(留置T管组),105例行胆总管Ⅰ期缝合(I期缝合组)。结果手术均获成功,与OS组比较,手术时间、术中出血量、术后并发症发生率(胆瘘、出血)差异无统计学意义;住院日、术后镇痛药使用次数、腹腔或切口感染率、残石率明显减少。无中转开腹。30例T管引流口靠近肋弓而引起术后疼痛,2例术后2dT管才引流出胆汁。留置T管组有24例胆总管残余结石,3月后经胆道镜取石成功。留置T管组手术时间平均(110±15)min,平均术后住院8d;Ⅰ期缝合组手术时间(95±8)min,平均术后住院5d。结论LCDE是治疗胆总管结石安全、有效的方法,同样可起到创伤小、痛苦轻、恢复快、住院时间缩短等微创效果,如能在取净结石的情况下行胆总管Ⅰ期缝合,微创效果尤为明显。 相似文献