【作者】 甘建辉； 陈杰； 郭东勇；

【Author】 Gan Jian-Hui Department of Anesthesiology,Tangshan people Hospital, Tangshan, Guo Dongyong Department of Anesthesiology, Tianjin Cancer Hospital,Tianjin.

【机构】 唐山市人民医院麻醉科； 天津医科大学附属肿瘤医院麻醉科；

【摘要】 目的:比较相同浓度的耐乐品(罗哌卡因)与布比卡因用于下腹部肿瘤术后硬膜外镇痛的效果。方法:选择下腹部肿瘤手术病人60例,随机分为两组(n=30):R组:0．125％罗哌卡因+芬太尼2 μg／ml; B组:0．125％布比卡因+芬太尼2μg／ml。持续输注3ml／h,术后镇痛48h。采用视觉模拟评分法(VAS)评估镇痛效果,用改良Bromage评分评价下肢运动阻滞程度。结果:两者在镇痛效果和安全性方面无显著差别,但使用罗哌卡因的病人术后活动早。结论:下腹部肿瘤术后硬膜外镇痛时,罗哌卡因要优于布比卡因。更多还原

【Abstract】 Objective: To compare the effect of epidu-ral analgesia with 0.125% Ropivacaine with 0.125% Bupivacaine after hypogastric tumor surgery. Methods: 60 patients undergoing hypogastric tumor surgery were randomly divided into two groups (n=30): 0.125% Ropivacaine group(R); 0.125% Bupivacaine(B). The continous infusion rate was 3ml/h. Analgesia efficiency was evaluated with visual analog scale (VAS), lower limbs movement block degree was evaluated with modified Bromage Motor scale score. Results: Comparing to group B the VAS score and safety have no significant statistic discrepancy (p>0.05), patientsm’ ovement in group R was earlier than that in group B. Conclusion: 0.125% Ropivacaine is better than 0.125% Bupivacaine for epi-dural analgesia after hypogastric tumor surgery.更多还原