舒芬太尼与芬太尼复合罗哌卡因用于小儿术后镇痛效果比较研究

为了观察舒芬太尼或芬太尼复合罗哌卡因用于小儿术后镇痛的效果及其不良反应，选择ASAⅠ-Ⅱ级行择期下腹部手术的小儿50例，随机分为两组，各25例，术后分别使用0．5μg·m^-1舒芬太尼或2μg·ml^-1芬太尼复合0．1％罗哌卡因行硬膜外病人自控镇痛，观察术后24h镇痛效果及其不反应。结果显示，舒芬太尼组术后24h静态和活动时镇痛效果优于芬太尼组（P〈0．05），恶心、呕吐发生率低，程度轻（P〈0．05）。因此，舒芬太尼复合罗哌卡因可安全用于小儿下腹部术后镇痛，效果优于芬太尼复合罗哌卡因。

Epidurai Sufentanii with Ropivacaine for Postoperative Analgesia in Children

To evaluate the analgesic and side effects of sufentanil and fentanyl combined with ropivacaine in postoperative children. Fifty children ASA Ⅰ-Ⅱ ,undergoing subabdominal surgery, were randomly divided into two groups（n= 25）. Sufentanil 0.5μg · ml^-1 or fentanyl 2μg · ml^-1 with ropivacaine 0. 1 % were given epidurally after surgery , respectively. Postoperative analgesic effects and side effects were observed within 24hr. Anagesic effects in group sufentanil were superior to group fentanyl when children were in the state of rest or moving respectively（P〈0. 051. Less nausea and vomiting were recored in group sufentanil（ P〈0. 051. Therefore, sufentanil with ropivacaine could be safe in PCEA after subabdominal surgery in children. Sufentanil had better analgesic effect than fentanyl .