Saied M M, Sonbul Z M, el-Kenawy M, Atallah M M
Faculty of Medicine, University of Mansoura, Egypt.
Middle East J Anaesthesiol. 1991 Oct;11(3):259-64.
The promising interpleural block (IPB) technique stimulated the comparison of its adjuvant effect to spinal analgesia for percutaneous nephrolithotomy (PCNL) with that of meperidine-diazepam. Twenty five patients receiving spinal analgesia 15 mg 0.5% heavy bupivacaine for PCNL were randomly allocated to receive the adjuvant effect of either meperidine 1 mg/kg IV and diazepam 10 mg total dose (n = 10) or IPB with 10 ml 0.5% plain bupivacaine (n = 15). It was found that IPB produced a totally pain free operation and needed less frequent administration in the postoperative period, while meperidine-diazepam produced a pain free in 20% of patients and needed more frequent postoperative meperidine (1 mg/kg IM) administration.
前景广阔的肋间阻滞（IPB）技术激发了人们将其用于经皮肾镜取石术（PCNL）时辅助脊髓镇痛的效果与哌替啶-地西泮的效果进行比较。25例接受15mg 0.5%重比重布比卡因脊髓镇痛用于PCNL的患者被随机分配，分别接受静脉注射1mg/kg哌替啶和总量10mg地西泮的辅助作用（n = 10）或10ml 0.5%普通布比卡因的IPB（n = 15）。结果发现，IPB使手术完全无痛，且术后给药频率较低，而哌替啶-地西泮仅使20%的患者无痛，且术后需要更频繁地注射哌替啶（1mg/kg肌内注射）。
