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目的 比较芬太尼与曲马多骶管注入用于小儿术后镇痛的效果及安全性。方法 6 0例行腹股沟斜疝修补术或睾丸下降固定术的患儿随机分为 1%利多卡因 (A组 )、1%利多卡因 +芬太尼 2 μg/kg(B组 )和 1%利多卡因 +曲马多 1mg/kg(C组 )。用OPS法及Ramsay法分别进行镇痛及镇静评分并随访副作用的发生率。结果 OPS <4分的百分率B、C组明显高于A组 (P <0 0 5 ) ,B、C组在术后 2 4h时差异亦有显著意义。镇静评分B、C组在术后 2h各时点明显高于A组 (P <0 0 5 )。恶心呕吐发生率B组明显高于A组和C组 (P <0 0 5 )。结论 曲马多镇痛效果优于芬太尼 ,且副作用少。
Objective To compare the efficacy and safety of injecting fentanyl and tramadol into postoperative analgesia in children. Methods Sixty children with inguinal hernia repair or testicular descending fixation were randomly divided into 1% lidocaine (group A), 1% lidocaine + fentanyl 2 μg / kg (group B) and 1 % Lidocaine + tramadol 1mg / kg (C group). OPS and Ramsay method were used for analgesic and sedation scores and follow-up incidence of side effects. Results The percentage of OPS <4 was significantly higher in group B and group C than in group A (P <0.05). The differences in group B and C at 24 h were also significant. Sedation score B, C group at 2h after operation was significantly higher than the A group (P <0 05). The incidence of nausea and vomiting in group B was significantly higher than that in group A and C (P <0.05). Conclusion Tramadol analgesic effect is better than fentanyl, and less side effects.