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两种局麻药术后镇痛效果及副作用比较
引用本文:徐桂萍,张兰.两种局麻药术后镇痛效果及副作用比较[J].新疆医科大学学报,2003,26(2):178-179.
作者姓名:徐桂萍  张兰
作者单位:新疆医科大学第一附属医院麻醉科,新疆,乌鲁木齐,830054
摘    要:目的:观察比较0.2%罗哌卡因和0.15%布比卡因两种同麻药在硬膜外自控镇痛(PCEA)中的镇痛效果及副作用。方法:选用0.2%罗哌卡因和0.15%布比卡因两种同麻药用于PCEA中.对其效果进行对比分析。结果:0.2%罗哌卡因、0.15%布比卡因分别与0.1mg芬太尼联合用于PCEA中,镇痛效果确切.毒副作用轻微,并发症少。结论:将0.2%罗哌卡因替代0.15%布比卡因与0.1mg芬太尼合用后.病人术后行走能力的早期恢复可得到改善。

关 键 词:局麻药  术后  镇痛效果  副作用  比较
文章编号:1009-5551(2003)02-0178-02
修稿时间:2002年3月25日

Comparison of effects and side effects of two kinds of local anethetics on postoperative controlled analgesia
XU Gui ping,ZHANG Lan.Comparison of effects and side effects of two kinds of local anethetics on postoperative controlled analgesia[J].Journal of Xinjiang Medical University,2003,26(2):178-179.
Authors:XU Gui ping  ZHANG Lan
Abstract:Objective: To compare the effect of analgesia drugs and side effects in patients with controlled epidural analgesia (PCEA) of the two kinds of local anethetics. Method: We selected two local anethetics (ropivacaine and bupivacaine) in PCEA. Results: 0.2% ropivacaine and 0.15% bupivacaine combined with 0.1 mg fentanil were seperatedly used in PCEA. The effect was surely safe, simple and conveninet; the intoxication, side effects and complication were minimized. Conclusion: the early walking ability can be improved after operation if 0.2% ropivacaine combined with 0.1 mg fentanil is applied.
Keywords:ropivacaine  bupivacaine  fentanil  PCEA
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