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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 5 %罗比卡因比同浓度布比卡因更有利于患儿术后恢复
Objective To observe the effect of application of rosucaine and bupivacaine in children with sacral anesthesia on postoperative recovery. Methods Eighty children were randomly divided into two groups: group A, 0.52% ropivacaine group, group B, 0.52% bupivacaine group, with 40 cases in each group. The volume was 1ml / kg. Observe the recovery of lower limb muscle strength, the degree of comfort in children, urinary retention, nausea and vomiting and anal exhaust time. Results The score of postoperative motor block in group A was significantly lower than that in group B (P <0.01). In group A, the proportion of children with L PS grading less than grade 3 was significantly less than that of group B, and the anal exhaust time was significantly shorter than that of group B (P <0.05). The average analgesic time, nausea or vomiting, urinary retention was no significant difference between the two groups (P> 0.05). Conclusion Sacral anesthesia with 0.52% ropivacaine than the same concentration of bupivacaine is more conducive to children with postoperative recovery