我们认为,0.75%罗哌卡因用于硬膜外麻醉剖宫产手术时安全有效,其感觉阻滞及镇痛效果优于0.5%丁哌卡因,运动阻滞起效较慢而恢复迅速。
参考文献
1 Tuttle AA,Katz JA,Rridenbaugh PO,et al.A double-blind comparison of the abdominal wall relaxation produced by epidural 0.75% ropivacaine and 0.75% bupivacaine in gynecologic surgery.Reg Anesth,1995,20:515-520.
2 Finucane BT,Sandler AN,McKenna J,et al.A double-blind comparison of ropivacaine 0.5%,0.75%,1.0% and bupivacaine 0.5,injected epidurally,in patients undergoing abdominal hysterectomy.Can J Anaesth,1996,43:442-449.
3 Santos AC,Аrthur GR,Roberts DJ,et al.Effect of ropivacaine and bupivacaine on uterine blood flow in pregnant ewes.Anesth Analg,1992,74:62-72.
4 Albright GA.Cardiac arrest following regional anesthesia with etidocaine or bupivacaine (Editorial).Anesthesiology,1979,51:285-287.
5 Bader AM,Datta S,Flanagan H,et al.Comparison of bupivacaine-and bupivacaine-induced conduction blocked in the isolated rabbit vagus nerve.Anesth Analg,1989,68:724-727.
6 Brockway MS,Bannister J,McClure JH,et al.Comparison of extradural ropivacaine and bupivacaine.Br J Anaesth,1991,66:31-37.