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0.15% levobupivacaine for analgesia after lower extremity

± 0.8, no significant group differences (P> 0.05). Analgesia group and 8h, LBUP BUP group 2 patients, respectively Bromage score = 2, to the pain after the 16h recovery, since all patients Bromage score = 0. 2.4 24h and 48h after the activity: After 24hLBUP group and BLIP group were 12 patients (4o%) and 11 patients (36.7%) of the patients can walk a short time, there was no significant difference (P> O.05). After 48h,[link widoczny dla zalogowanych], 2 groups of patients were back to normal activity. 2.5 Adverse reactions: two groups of patients with adverse events was no significant difference (P> O.05), Table 3. Table 3 groups the incidence of adverse reactions [Cases (%)】 3 Discussion levobupivacaine is the L-enantiomer of bupivacaine, central nervous system toxicity and cardiac toxicity than bupivacaine low ¨] . Foreign scholars Murdoeh 【4 studies have shown that 0.25% levobupivacaine to 6ud / h infusion rate of epidural analgesia can get good results,[link widoczny dla zalogowanych], but there are still 22% lower extremity muscle strength of patients can not be within the 24h fully restored, and 0.125% group and 96% of patients fully recover. Chapter I keep the domestic use of 0.15% levobupivacaine to 4m] / h infusion rate of epidural analgesia and epidural morphine PCA assistance, the conditions in the two groups were basically the same situation, Comparison of bupivacaine and ropivacaine epidural infusion analgesia and found 0.2% and 0.2% bupivacaine epidural 4ml / h input Note that 20% of the patients local anesthetic alone can produce good analgesia, while 80% of the patients need an additional key press PCA morphine analgesia aid,[link widoczny dla zalogowanych], but a lower use of epidural morphine (O .2-2.4 rag), thereby reducing adverse effects associated with morphine. In this study, two groups of patients after five hours in the VAS pain score, pain at the end of pain and overall assessment of adverse events, compared among the groups there was no significant difference (P> 0.o5). Analgesia after 4h modified Bromage score 2 groups of patients for the LBUP group 1.44-0.9, BUP group of 1.34-0.8 between the two groups showed no significant difference (P> 0.05), pain after 8h LBUP BUP group and 2 patients respectively Bromage score = 2, 16h after the recovery from pain, all patients in this Bromage score = 0. In addition,[link widoczny dla zalogowanych], postoperative 24hLBUP BUP group and 12 cases respectively (4o%) and 11 patients (36.7%) of the patients can walk a short time, there was no significant difference (P> 0.05). After 48h, 2 groups of patients were back to normal activity. 1270 * The results show that the analgesic effect of 2 drugs is basically the same. Overall, 0.15% levobupivacaine with 0.15% bupivacaine for continuous epidural infusion of lower limb pain after surgery, the analgesic effect can be satisfactory, both the analgesic drugs no difference in efficacy.

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