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经尿道手术的脊髓麻醉:2%利多卡因与高压0.5%布比卡因的比较。

Spinal anaesthesia for transurethral surgery: comparison of 2% lignocaine with hyperbaric 0.5% bupivacaine.

作者信息

Williams N, Doyle A, Brighouse D

机构信息

Shackleton Department of Anaesthesia, Southampton General Hospital.

出版信息

Br J Anaesth. 1995 Jul;75(1):9-11. doi: 10.1093/bja/75.1.9.

DOI:10.1093/bja/75.1.9
PMID:7669477
Abstract

We have compared 2% lignocaine 3.5 ml with 0.5% hyperbaric bupivacaine 3 ml in a randomized, double-blind study in 30 patients undergoing subarachnoid anaesthesia for transurethral surgery. A sensory level of T10 was produced more quickly (P = 0.0001) and maximum height reached sooner (P = 0.0002) with lignocaine, although there was a greater reduction in systolic arterial pressure (P = 0.03) and a trend towards slower heart rates (P = 0.056). Return of full sensory and motor function occurred earlier with lignocaine (P = 0.00005 and P = 0.02).

摘要

我们在一项随机双盲研究中,对30例接受蛛网膜下腔麻醉以进行经尿道手术的患者,比较了2% 3.5毫升的利多卡因与0.5% 3毫升的高压布比卡因。利多卡因产生T10感觉平面的速度更快(P = 0.0001),达到的最大高度更早(P = 0.0002),尽管收缩压下降幅度更大(P = 0.03),且心率有减慢趋势(P = 0.056)。利多卡因使感觉和运动功能完全恢复的时间更早(P = 0.00005和P = 0.02)。

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