摘要
目的对比观察0.75%罗哌卡因与2%利多卡因用于小儿手术麻醉中的麻醉效果。方法选择小儿下肢手术病人126例,随机分为两组,在氯胺酮基础麻醉下0.75%罗哌卡因用于小儿连续硬膜外麻醉(A组)或利多卡因小儿连续硬膜外麻醉(B组)。观察两组感觉及运动阻滞效果、生命体征变化、恶心、呕吐等副作用发生情况以及小儿苏醒状况。结果A组术中麻醉效果满意,用药量明显减少,血压、心率和呼吸较接近麻醉前基础值且比较稳定。B组中麻醉用药量较多,血压、心率及呼吸率均较术前明显增加,且始终保持在较高水平。结论0.75%罗哌卡因注射液用于小儿手术麻醉,安全有效、作用时间长,副作用小,值得推广应用。
Objective To comparatively analyze the anesthetic effect of 0.75% ropivacaine and 2% lidocaine in pediatric epidural anesthesia. Methods 126 pediatrics were randomly divided into two groups, with 0.75% ropivacaine for epidural anesthesia in group A or lidocaine for epidural anesthesia in group B to observe the effects. Results Group A got satisfactory anesthetic effect with significantly reduced medication, with stable blood pressure, heart rate and breathing close to pre-anesthesia. Conclusion In pediatric anesthesia, 0.75% ropivacaine injection has the advantages of safety, efficacy, working long hours, less side effect, which deserves clinical application.
出处
《临床医学工程》
2009年第8期51-52,共2页
Clinical Medicine & Engineering
关键词
罗哌卡因
利多卡因
硬膜外麻醉
小儿
ropivacaine
lidocaine
epidural anesthesia
pediatrics
