1因对3ED95顺苯磺阿曲库铵肌松作用的影响.pdfVIP

607 doi:10.3969/j.issn.1009-881X.2010.04.037 利多卡因或罗哌卡因对3ED95顺苯磺阿曲库铵肌松作用的影响 摘要：目的 3ED95 方法 604 0.15mg/kgTOF VL15min21.5mg/kg0.03mg/(kg·min)EL ER15minEL3.3mg/kg 21h1.8mg/kgER EL0.54T1T2T3 结果 VLT1C (4.441.37 vs 6.171.91minP0.05VLELT2 64.479.8763.8710.06minT366.829.80 65.9410.1minC(54.905.9656.595.86min) 0.05ERC 0.05 P P 结论 关键词： 中图法分类号：R614 文献标识码：A 文章编号：1009-881X(2010)04-0607-03 The Effi cacy of Lidocaine or Ropivacaine on Neuromuscular Blockade Induced by 3ED95 Cisatracurium SHEN Jun-hui,LV Huang-wei (Department of Anesthesiology,the First Hospital of China Medical University,Shenyang 110001) Abstract Objective To respectively examine the efficacy of intravenously injected lidocaine,epidurally administered lidocaine/ropivacaine on 3ED95 cisatracurium-induced neuromuscular block. Methods Sixty patients were randomly assigned to one of four study groups.Every patient was neuromuscular blocked with 0.15mg/kg cisatracurium and monitored with acceleromyographic train-of-four(TOF) monitor at the fl exor pollicis brevis. Intravenous lidocaine group(VL group) intravenously inject 2 lidocaine 1.5mg/kg at the time of 15min before induction and continuously inject with the 0.03mg/(kg•min) rate.Epidural anesthesia was performed 15min before induction on epidural lidocaine group(EL group) and epidural ropivacaine group(ER group).The EL group was given a bolus of 1.5mg/kg of 2 lidocaine and 3.3mg/kg after an hour.Compared to the EL group,the ER group was given the same volume of 0.5 ropivacaine.Disappear