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利多卡因和依替卡因用于阴道分娩连续硬膜外麻醉的双盲比较。

Double-blind comparison of lidocaine and etidocaine during continuous epidural anesthesia for vaginal delivery.

作者信息

Finucane B T, McCraney J M, Bush D F

出版信息

South Med J. 1978 Jun;71(6):667-9, 676. doi: 10.1097/00007611-197806000-00018.

Abstract

Etidocaine 0.5% plain, etidocaine 0.5% with epinephrine 1:200,000 and lidocaine 1% with epinephrine 1:200,000 were compared in a series of patients receiving epidural anesthesia for vaginal delivery. Results, based on data from 48 patients, showed a significant increase in the duration of action (P is less than .01%), the degree of sensory analgesia (P is less than .02%) and the degree of motor blockade (P is less than .01%) in the group that received etidocaine with epinephrine compared to the remaining groups. There were no significant differences in the duration of labor or the number of complications. It was concluded that etidocaine and lidocaine in the concentrations used were unsatisfactory for labor and delivery.

摘要

对一系列接受硬膜外麻醉进行阴道分娩的患者,比较了单纯0.5%依替卡因、含1:200,000肾上腺素的0.5%依替卡因和含1:200,000肾上腺素的1%利多卡因。基于48例患者的数据得出的结果显示,与其他组相比,接受含肾上腺素依替卡因的组在作用持续时间(P小于0.01%)、感觉镇痛程度(P小于0.02%)和运动阻滞程度(P小于0.01%)方面均有显著增加。分娩持续时间或并发症数量无显著差异。得出的结论是,所用浓度的依替卡因和利多卡因用于分娩并不理想。

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