小儿骶麻应用罗比卡因和布比卡因对术后恢复影响的比较(附80例分析)  

Comparison of Postoperative Recovery in Pediatric Patient:Ropivacaine versus Bupivicaine for Caudal Anesthesia

作　　者：郑澍[1] 林水雄[1] 陈彦青[1] 

机构地区：[1]福建省立医院麻醉科,350001

出　　处：《福建医药杂志》2003年第3期36-37,共2页Fujian Medical Journal

摘　　要：目的　观察小儿骶麻应用罗比卡因和布比卡因对术后恢复的影响。方法　 80例患儿随机分为两组 :A组 ,0 .2 5 %罗比卡因组 ;B组 ,0 .2 5 %布比卡因组 ;每组 4 0例 ;容量均为 1ml/ kg。观察术后下肢肌力恢复情况 ,患儿舒适程度、尿潴留、恶心呕吐及肛门排气时间情况。结果　 A组术后运动阻滞评分明显小于 B组 (P<0 .0 1)。A组患儿 L PS评级小于 3级的比例明显小于 B组 ,肛门排气时间明显短于 B组 (P<0 .0 5 )。平均镇痛时间 ,恶心或呕吐、尿潴留发生率两组比较差别无显著性 (P>0 .0 5 )。结论　骶麻应用 0 .2 5Objective To evaluate the efficacy of postoperative recovery in children after using ropivacaine and bupivicaine for caudal anesthesia.Methods Eighty patients were divided into two groups randomly.Forty patients(group A)received 0 25% ropivicaine and forty patients(group B)received 0 25% bupivicaine for caudal anesthesia(1ml/kg in both group).Time of motor block,comfort score,length of urine retention incidence of nausea and vomiting and duration of peristalsis returning were recorded.Results Compared with group B,the motor block score and the ratio of LPS less than 3 of group A were much lower( P <0 01).The duration of peristalsis returning in group A was shorter than that in group B( P <0 05).The incidence of average analgesia time?incidence of nausea and vomiting,length of urine retention was similar between two groups( P >0 05).Conclusions Ropivicaine for caudal anesthesia benefited pediatric patien in postoperative recover rather than bupivicaine.

关 键 词：骶麻 麻醉 罗比卡因 布比卡因 术后恢复 儿童 

分 类 号：R726.1[医药卫生—儿科]