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硬膜外注射依替卡因对皮节刺激后体感诱发电位变化的影响。

Effects of etidocaine administered epidurally on changes in somatosensory evoked potentials after dermatomal stimulation.

作者信息

Lund C, Hansen O B, Kehlet H, Mogensen T, Qvitzau S

机构信息

Department of Anesthesiology, Copenhagen University Medical School, Hvidovre Hospital, Denmark.

出版信息

Reg Anesth. 1991 Jan-Feb;16(1):38-42.

PMID:2007104
Abstract

The effect of lumbar epidural anesthesia with similar volumes (approximately 20 ml) of 1% and 1.5% etidocaine on early (less than 0.5 seconds) somatosensory evoked potentials (SEPs) to electrical stimulation of the S1, L1, and T10 dermatomes was examined in two groups of ten patients in a randomized, double-blind study. Level of analgesia to pinprick was T7.7 +/- 0.9 in the 1% group and T6.6 +/- 0.6 in the 1.5% group and all patients had total motor block. Despite similar analgesia to pinprick, SEP amplitude was more reduced in the 1.5% group, in which SEPs were abolished in all patients at the L1 level.

摘要

在一项随机双盲研究中,对两组各10例患者进行了研究,观察了相似容量(约20毫升)的1%和1.5%依替卡因进行腰段硬膜外麻醉对电刺激S1、L1和T10皮节所诱发的早期(小于0.5秒)体感诱发电位(SEP)的影响。1%组针刺镇痛平面为T7.7±0.9,1.5%组为T6.6±0.6,所有患者均出现完全运动阻滞。尽管两组针刺镇痛效果相似,但1.5%组SEP波幅降低更明显,该组所有患者在L1水平的SEP均消失。

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