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球后麻醉中依替卡因的应用。与甲哌卡因的比较。

Etidocaine in retrobulbar anaesthesia. A comparison with mepivacaine.

作者信息

Thorburn W, Thorn-Alquist A M, Edström H

出版信息

Acta Ophthalmol (Copenh). 1976 Oct;54(5):591-600. doi: 10.1111/j.1755-3768.1976.tb01288.x.

Abstract

A new long-acting local anaesthetic, etidocaine (Duranest) has been compared to mepivacaine (Carbocaine) in retrobulbar anaesthesia in a double-blind trial including 45 patients. Solutions used were etidocaine 0.5% and 1% and mepivacaine 1%, all without adrenaline. The onset time was short and no difference was found between the solutions. The duration of analgesia and motor block was significantly longer with etidocaine 1% compared to mepivacaine 1%. In a following open study with etidocaine 1% and mepivacaine 1% about 80% of the the patients in the etidocaine group never experienced any post-operative pain compared to about 50% in the mepivacaine group. No signs of local or systemic toxicity were noted in the studies.

摘要

一种新型长效局部麻醉药依替卡因(杜拉耐特)在一项纳入45例患者的双盲试验中,与甲哌卡因(卡波卡因)用于球后麻醉进行了比较。所用溶液为0.5%和1%的依替卡因以及1%的甲哌卡因,均不含肾上腺素。起效时间短,各溶液之间未发现差异。与1%的甲哌卡因相比,1%的依替卡因镇痛和运动阻滞持续时间显著更长。在随后一项关于1%依替卡因和1%甲哌卡因的开放性研究中,依替卡因组约80%的患者术后从未经历任何疼痛,而甲哌卡因组约为50%。研究中未观察到局部或全身毒性迹象。

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