论文部分内容阅读
目的:评价不同浓度的罗哌卡因对患儿骶管阻滞麻醉术后镇痛疗效。方法:选取2014年2月—2015年6月收治的行下腹部和下肢手术患儿90例,按照骶管阻滞麻醉术中罗哌卡因的使用浓度,将其分为A,B和C组,每组30例;A组患者罗哌卡因的使用浓度为0.1%,B组患者为0.2%,C组患者为0.3%;评价3组患者术后镇痛效果。结果:3组患者镇痛疗效,A组优于B组和C组(P<0.05);A组术后3,6,9和12 h的Bromge评分值优于B组和C组(P<0.05)。结论:不同浓度的罗哌卡因对患儿骶管阻滞麻醉术后的镇痛效果不同,应根据患儿的实际情况,给予不同浓度麻醉,以提升镇痛疗效。
Objective: To evaluate the efficacy of different concentration of ropivacaine on analgesia after caudal block anesthesia in children. Methods: Totally 90 children underwent lower abdomen and lower limb surgery from February 2014 to June 2015 were divided into A, B and C groups according to the concentration of ropivacaine in caudal block anesthesia. Group, 30 cases in each group. Patients in group A were given 0.1% Ropivacaine, 0.2% in group B and 0.3% in group C. The analgesic effect was evaluated in three groups. Results: The analgesic effect was better in group A than in group B and group C (P <0.05). The Bromge scores of group A at 3, 6, 9 and 12 h after operation were better than those of group B and C (P < 0.05). Conclusion: Different concentrations of ropivacaine have different analgesic effects after caudal caudal anesthesia in children. Different concentrations of anesthesia should be given according to the actual situation in children to improve analgesic efficacy.