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目的比较罗哌卡因和利多卡因在小儿术中术后的作用,安全性及镇痛效能。方法对50例患儿下腹部手术评定术中术后的作用,分别记录其MAP、R、HR、SpO2及返房后OPS评定。结果罗哌卡因组术中术后皆反应平稳,无疼痛反应,利多卡因组患儿明显有哭闹、烦躁、兴奋、被动体位、疼痛反应。返房后30 min哭闹15例、烦躁3例、被动体位2例,疼痛反应3例,返房后60 min哭闹5例,烦躁5例、被动体位3例,疼痛反应10例,返房后90 min哭闹3例、被动体位1例、疼痛反应1例,返房后120 min均停止哭闹,安静入睡。两组比较差异有统计学意义(P<0.01)。结论罗哌卡因具有安全性高,镇痛时间长,可以有效防止术后疼痛等安全性。
Objective To compare the effect, safety and analgesic efficacy of ropivacaine and lidocaine in children after operation. Methods Fifty patients undergoing surgery on the lower abdomen were evaluated for postoperative and postoperative effects. The MAP, R, HR, SpO2 and OPS after the return visit were recorded. Results The patients in the ropivacaine group responded smoothly and did not have any painful reaction after operation. The patients in the lidocaine group obviously had crying, irritability, excitement, passive position and pain reaction. 15 minutes after returning to the room, 3 cases of irritability, 2 cases of passive body position, 3 cases of pain reaction, 5 cases of crying 60 minutes after returning to the room, 5 cases of irritability, 3 cases of passive position, 10 cases of pain reaction, After 90 min crying in 3 cases, passive body position in 1 case, pain reaction in 1 case, 120 minutes after returning to the room to stop crying, sleep quietly. The difference between the two groups was statistically significant (P <0.01). Conclusion Ropivacaine has the advantages of high safety and long analgesic time, which can effectively prevent postoperative pain and other safety issues.