甲磺酸罗哌卡因用于小儿骶管麻醉的临床观察

Clinical Observation of Ropivacaine Mesylate in Children’s Caudal Anesthesia

目的:观察甲磺酸罗哌卡因用于小儿骶管麻醉的效应。方法:ASAⅠ~Ⅱ级的会阴部手术患儿30例,随机分为两组,每组15例。实验组注入甲磺酸罗哌卡因3mg/kg,对照组注入盐酸利多卡因8mg/kg,药物均用0.9%生理盐水适当稀释,容量为0.8ml/kg。骶管穿刺前均给予氯氨酮5mg/kg^6mg/kg肌肉注射,术中必要时辅助氯胺酮及异丙酚静脉注射。观察麻醉效果,连续检测BP、HR、RR、SpO2,记录术中辅助用药情况,并根据术中肢体动作及语言应答评估术后运动力量及反射评分(MPRS)。结果:两组患儿BP、HR、RR、SpO2差异无显著性,两组麻醉效果均满意,术中辅助麻醉用药量观察组<对照组。MPRS评分观察组>对照组。结论:甲磺酸罗哌卡因用于小儿骶管麻醉,镇痛效果好,利于小患儿早期苏醒,适于小儿会阴部手术的麻醉。

Objective To observe the effect of ropivacaine mesylate in Cchildren＇s Caudal Anesthesia. Methods Thirty ASA I or II perineum Surgery pediatrico patients were randomited into two groups evenly. The study group（n= 15） treated with ropivacaine mesylate 3 mg/kg, and the Control group （n = 15） anesthesia with lido caine 8 mg/kg, Ketamine 5 rng/kg-6 mg/kgin was given before inducting Caudal Anesthesia, Ketamine and Propofol were given intravenously in necessity during the opration . BP, HR, RR, SpO2 and the dosage of Ketamine and propefol were recorded during the surgery. Mortor power and reflex Scale Scrores （MPRS） were tested in the end of the opration. Results BP, HR,RR and SpO2 had no significant differentce between the two groups . The dosages of Ketamine and Propofol as well as the MPRS Scores were significant differentce（P〈0.05）. Conclusion The results indicate that ropivacaine mesylate is the best in child Caudal block with good Analgesia and minimal side effects .