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- W2393655384 abstract "Objective: To evaluate effects and complications of the postoperative patient-controlled epidural analgesia(PCEA) with levobupivacaine and ropivacaine after abdominal operations. Methods: Sixty cases ASA physical status Ⅰ~Ⅱ abdominal operation patients were randomly allocated in a double-blind fashion into two groups: PCEA with both 0.15% levobupivacaine and 2 mg/L fentanyl(group A, n=30) was established ,on the other hand,0.2% ropivacaine and 2mg/L fentanyl(group B, n=30)established too then PCEA was performed with velocity of 5 mL/h. Dynamic visual analogue pain scale (VAS 0~10 score), satisfaction of patients to pain relief, the motor block test(Bromage scale) and postoperative motor ability(four stages) were evaluated 4 h, 8 h, 24 h, 48 h postoperatively; as well as the number of PCA demand (PCAd) and PCA effect number(PCAe), PCAd / PCAe ratio (D/D)and reverse effects. Results: The analgesia was satisfactory in two groups and the figure difference in two groups was not statistical(P0.05). On the first postoperative day, the group B had a higher percent of patients(25cases,83.3%) who were ambulatory for a little time than the group A (14 cases,46.7%). On the second postoperative day, 86.7% patients(26 cases) in group B can ambulate everywhere whereas 50.0% patients (15 cases)in group A can do and the difference was statistical(P0.05).The rate of nausea in group A (4/30) was 13.3% versus 10.0% that was in group B(3/30) and the rate of pruritus in two groups was all 6.7%(2/30),the difference was not statistical(P0.05). Conclusion: PCEA with 0.15% levobupivacaine and 0.2% ropivacaine after abdominal operations can provide effective analgesia. Postoperative recovery in 0.2% ropivacaine was earlier than that in 0.15% levobupivacaine." @default.
- W2393655384 created "2016-06-24" @default.
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- W2393655384 date "2006-01-01" @default.
- W2393655384 modified "2023-09-23" @default.
- W2393655384 title "A Comparison Patient-controlled Epidural Analgesia (PCEA) with 0.15% Levobupivacaine versus 0.2% Ropivacaine in Patients after Abdominal Operations" @default.
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