在儿童门诊腹股沟疝修补术后，罗哌卡因与布比卡因和利多卡因用于髂腹股沟阻滞的比较。
Comparison of ropivacaine with bupivacaine and lidocaine for ilioinguinal block after ambulatory inguinal hernia repair in children.
作者信息
Tsuchiya Naohisa, Ichizawa Manami, Yoshikawa Yukiko, Shinomura Tetsutaro
机构信息
Department of Anaesthesia, Otsu Red Cross Hospital, Otsu, Japan.
出版信息
Paediatr Anaesth. 2004 Jun;14(6):468-70. doi: 10.1111/j.1460-9592.2004.01234.x.
BACKGROUND
We have compared ropivacaine with bupivacaine and lidocaine for ilioinguinal block in thirty children undergoing ambulatory inguinal hernia repair.
METHODS
Patients were assigned randomly to receive 0.5 ml.kg(-1) of 0.2% ropivacaine (Group R, n = 10), 0.25% bupivacaine (Group B, n = 10) or 1% lidocaine (Group L, n = 10). The patients' parents, who were not informed of the type of local anaesthetic employed, evaluated the postoperative pain at 2 h and 6 h after operation using the Wong-Baker FACES Pain Rating Scale.
RESULTS
There was a significant difference in the face scale score between Group R and Group L, and Group B and Group L. There was no difference in the face scale score between Group R and Group B. There were no complications or clinical evidence of local anaesthetic toxicity.
CONCLUSIONS
We have confirmed that bupivacaine and ropivacaine are more effective than lidocaine in the prevention of postoperative pain after children's inguinal hernia repair. We suggest that ropivacaine 0.2% is an alternative to bupivacaine 0.25% for ilioinguinal block in ambulatory paediatric surgery.
背景
我们比较了罗哌卡因与布比卡因和利多卡因用于30例接受日间腹股沟疝修补术儿童的髂腹股沟阻滞的效果。
方法
患者被随机分配接受0.5 ml.kg(-1)的0.2%罗哌卡因（R组，n = 10）、0.25%布比卡因（B组，n = 10）或1%利多卡因（L组，n = 10）。患者的父母未被告知所使用的局部麻醉剂类型，他们在术后2小时和6小时使用面部表情疼痛评分量表评估术后疼痛。
结果
R组与L组、B组与L组之间面部表情评分有显著差异。R组与B组之间面部表情评分无差异。没有出现并发症或局部麻醉药毒性的临床证据。
结论
我们证实，布比卡因和罗哌卡因在预防儿童腹股沟疝修补术后疼痛方面比利多卡因更有效。我们建议，0.2%罗哌卡因可作为0.25%布比卡因用于小儿日间手术髂腹股沟阻滞的替代药物。
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