Comparison of levobupivacaine and bupivacaine in spinal anesthesia during transurethral resection of prostate for elderly patients

VernacularTitle:左旋布比卡因与布比卡因蛛网膜下腔麻醉在老年前列腺手术中麻醉效果的比较
Author: Jian LI ; Guoguang JIN ; Weidong YE
Publication Type:Journal Article
Keywords: Anesthesia; Levobupivacaine
From: Chinese Journal of General Practitioners 2011;10(7):501-503
CountryChina
Language:Chinese
Abstract: Eighty elderly patients undergoing elective resection for the prostate were randomly divided into two groups, the levobupivacaine (observe group) and bupivacaine (control group) were used for spinal anesthesia, respectively. The level of sensory block and maintain time were T7±4 and (224 ±28) min in observed group, those in control group were T6±3 and (227 ±30) min, respectively ( both P＞ 0. 05). The mean arterial blood pressure of control group was (71 ±8) -(72 ±8) mm Hg (1 mm Hg = 0. 133 kPa) from 5 to 30 min after injection; meanwhile that of observed group was(75 ± 9) mm Hg (P ＜ 0. 05). The incidences of hypotension and nausea were 10% (4/40) and 0% (0/40) respectively in observe group, and those were 30% (12/40) and 15% (6/40) respectively in control group (both P＜0.05). The results indicate that levobupivacaine and bupivacaine have similar anesthetic effects, but levobupivacaine has fewer side effects and is more suitable for elderly patients.