【关键词】  左旋布比卡因；布比卡因；腰麻联合硬膜外麻醉；子宫全切术

　　［摘要］  目的  观察左旋布比卡因与布比卡因在子宫全切术中的临床应用及效果。方法  60例病人均采用腰麻联合硬膜外穿刺，穿刺成功后蛛网膜下腔A组注入0.75％左旋布比卡因2 ml+5％葡萄糖1 ml；B组0.75％布比卡因+5％葡萄糖1 ml。结果  （1）两组病人年龄、体重、ASA分级和手术时间差异无显著性（P>0.05）。（2）两组感觉和运动阻滞起效时间及切皮、术中腹腔牵拉比较差异无显著（P>0.05）。（3）两组硬膜外用药及不良反应比较差异无显著性（P>0.25）。结论  腰麻联合硬膜外麻醉损伤小，效果可靠，血流动力学稳定，术中容易管理，并发症少，麻醉维持时间长，是临床妇科手术的一种较好的麻醉方法。

    ［关键词］  左旋布比卡因；布比卡因；腰麻联合硬膜外麻醉；子宫全切术

      Levobupivacaine combined bupivacaine in hysterectomies

    ［Abstract］  Objective  To observe the clinical application and effect of levobupivacaine and bupivacaine in the hysterectomies.Methods  Arachnoid anaesthesia and extradural puncture were performed on 60 patients.Group A: 0.75% levobupivacaine 2 ml plus 5% glucose 1 ml.Group B:0.75% bupivacaine plus 5% glucose 1 ml.Results  （1）There are no distinct difference between the two groups of patients in the age,weight,ASA levels and the surgical time（P>0.05）.（2）There are no distinct difference between the two groups of patients in the beginning of effect on the sense and athletic nerves,skin incising and celiac pulling（P>0.05）.（3）There are no d……