小儿骶麻应用罗比卡因和布比卡因对术后恢复影响的比较（附80例分析）

目的观察小儿骶麻应用罗比卡因和布比卡因对术后恢复的影响.方法80例患儿随机分为两组:A组,0.25%罗比卡因组;B组,0.25%布比卡因组;每组40例;容量均为1ml/kg.观察术后下肢肌力恢复情况,患儿舒适程度、尿潴留、恶心呕吐及肛门排气时间情况.结果A组术后运动阻滞评分明显小于B组(P＜0.01).A组患儿LPS评级小于3级的比例明显小于B组,肛门排气时间明显短于B组(P＜0.05).平均镇痛时间,恶心或呕吐、尿潴留发生率两组比较差别无显著性(P＞0.05).结论骶麻应用0.25%罗比卡因比同浓度布比卡因更有利于患儿术后恢复.

Comparison of Postoperative Recovery in Pediatric Patient: Ropivacaine versus Bupivicaine for Caudal Anesthesia

Objective To evaluate the efficacy of postoperative recovery in children after using ropivacaine and bupivicaine for caudal anesthesia.Methods Eighty patients were divided into two groups randomly.Forty patients(group A)received 0 25% ropivicaine and forty patients(group B)received 0 25% bupivicaine for caudal anesthesia(1ml/kg in both group).Time of motor block,comfort score,length of urine retention incidence of nausea and vomiting and duration of peristalsis returning were recorded.Results Compared with group B,the motor block score and the ratio of LPS less than 3 of group A were much lower( P <0 01).The duration of peristalsis returning in group A was shorter than that in group B( P <0 05).The incidence of average analgesia time?incidence of nausea and vomiting,length of urine retention was similar between two groups( P >0 05).Conclusions Ropivicaine for caudal anesthesia benefited pediatric patien in postoperative recover rather than bupivicaine.