| 罗哌卡因和布比卡因腰-硬联合麻醉在妇科开腹手术的应用比较 |
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| 引用本文： | 陈桂军.罗哌卡因和布比卡因腰-硬联合麻醉在妇科开腹手术的应用比较[J].现代预防医学,2011,38(15):3105-3106. |
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| 作者姓名： | 陈桂军 |
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| 作者单位： | 河南省安阳地区医院脉醉科,安阳,455000 |
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| 摘 要： | 目的]比较罗哌卡因和布比卡因腰-硬联合麻醉用于妇科开腹手术的麻醉效果和安全性。方法]选择2009年5月~2010年12月某院妇科收治的62例择期手术患者,随机分为观察组和对照组,各31例。观察组给予0.75%罗哌卡因15mg,对照组给予0.75%布比卡因15mg,行腰麻-硬膜外联合麻醉。术中连续监测呼吸和循环情况,评估麻醉效应和观察不良反应的发生情况。结果]观察组感觉阻滞起效时间和运动阻滞起效时间明显长于对照组,感觉阻滞最高平面、运动阻滞最大Bromage评分明显优于对照组,感觉阻滞消退时间明显长于对照组。术后低血压、心率减慢、恶心呕吐等不良反应的发生率明显低于对照组。结论]与布比卡因相比,罗哌卡因腰-硬联合麻醉用于妇科开腹手术感觉阻滞、运动阻滞起效慢,术后恢复快,效果更优。
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| 关 键 词： | 罗哌卡因 布比卡因 腰-硬联合麻醉 妇科开腹手术 |
COMPARISON OF ROPIVACAINE AND BUPIVACAINE IN SPINAL-EPIDURAL ANESTHESIA FOR GYNECOLOGIC LAPAROTOMY |
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| CHEN Gui-jun.COMPARISON OF ROPIVACAINE AND BUPIVACAINE IN SPINAL-EPIDURAL ANESTHESIA FOR GYNECOLOGIC LAPAROTOMY[J].Modern Preventive Medicine,2011,38(15):3105-3106. |
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| Authors: | CHEN Gui-jun |
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| Institution: | CHEN Gui-jun.(Department of Anaesthesia,Hospital of Anyang in Henan province,Anyang 455000,China) |
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| Abstract: | Objective]To compare the anesthesia efficacy and safety of ropivacaine and bupivacaine in spinal-epidural anesthesia for gynecologic laparotomy.Methods]62 patients with gynecological elective surgery in our hospital from May 2009 to December 2010 were divided into observation group and control group,with 31 cases in each group. The observation group was assigned to receive 15 mg of 0.75% ropivacaine,while control group received 15 mg of 0.75% bupivacaine,for spinal anesthesia-epidural anesthesia. Intraope... |
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| Keywords: | Ropivacaine Bupivacaine Spinal-epidural anesthesia Gynecologic laparotomy |
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