罗哌卡因用于小儿硬膜外麻醉的体会

Experience of Ropivacaine in Children Epidural Anesthesia

目的 探讨罗哌卡因在小儿硬膜外麻醉中的效果与安全性。方法 总结腹股沟斜疝、肠套叠等120例病例，随机分成两组，每组60例。观察组麻前肌注东莨菪碱10μg/kg，氯胺酮5mg／kg行基础麻醉，入睡后选择L2～3间隙穿刺成功后，1次注入0.25％罗哌卡因、10％利多卡因混合液。B组给予0.25％丁哌卡因、1％利多卡因混合液。麻醉平面维持在T10以下。结果 A组成功率100％；B组成功率95％，失效3例。A组无低血压、心率减慢、恶心呕吐等副反应；B组出现3例低血压。结论 罗哌卡因于小儿硬膜外麻醉效果确切、安全。

Objective To study the effect and safety of ropivacaine in children epidural anesthesia. Methods 120 cases of groin hemia and intestinal overlap were divided into 2 groups （60 cases per each）. Onthe base of routine method, the observing group was given 0.35% ropivacaine and 10% lidocaine and control group was given 0.25 % bupivacaine and 1% lidocaine under control level T10. Results The successful rate in observing group was 100% and 95% in control group with 3 eases failed. There was no side effect in observing group and there were 3 cases in hypotension. Conclusion There might be effect and safe to using ropivacaine in children epidural anesthesia.