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Comparative in vitro Study of Relative Anesthetic Potency of Ropivacaine and Lidocaine

机译:罗哌卡因和利多卡因的相对麻醉潜能的体外比较研究

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The purpose of this experimental study was the accurate evaluation of relative anesthetic potency of lidocaine and ropivacaine electrophysiologically in vitro. Total 18 sciatic nerves from male Wistar rats weighing between 250-300 g were used. The sciatic nerves were dissected from the spinal cord to the knee, immersed in a standard saline solution and mounted across a three-chambered recording bath. The 18 nerves were divided in 2 groups. In group A 300 μL of ropivacaine 0.2% and in group B 300 μL of lidocaine 0.2% were applied. Each local anesthetic remained in the perfusion chamber until the reduction of the compound action potential reach the 50% of the originally measured value (IT50) and this reduction was accepted as establishment of anesthesia. Ropivacaine 0.2% was proved to be of statistically less potency regarding the establishment of anesthesia compared to lidocaine 0.2% (p = 0.000497) in the pH of 7.4. The IT50 for the nerves, which came in direct contact with ropivacaine 0.2% was estimated to be 25.28±7.61 min (n = 9). As for lidocaine 0.2% the IT50 was estimated to be 11.78±4.18.
机译:本实验研究的目的是在体外通过电生理学准确评估利多卡因和罗哌卡因的相对麻醉能力。使用来自雄性Wistar大鼠的总共18个坐骨神经,体重在250-300g之间。从脊髓到膝盖解剖坐骨神经,将其浸入标准盐溶液中并安装在三腔记录浴上。将18条神经分为2组。在A组中,使用了0.2%的罗哌卡因0.2%,在B组中,使用了0.2%的利多卡因。每种局麻药都保留在灌注室中,直到复合动作电位降低到初始测量值(IT50)的50%,并且这种降低被认为是麻醉的建立。在7.4的pH值下,与0.2%的利多卡因(p = 0.000497)相比,证明0.2%的罗哌卡因对麻醉的建立具有统计学上较低的效力。与0.2%罗哌卡因直接接触的神经的IT50估计为25.28±7.61分钟(n = 9)。至于0.2%的利多卡因,IT50估计为11.78±4.18。

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