CAJ | 학술논문

目的：观察罗哌卡因在包皮环切术的术中麻醉和术后镇痛效果。方法采用随机选择包皮环切术患者120例，随机分为罗哌卡因组和利多卡因组，每组60例，分别用0．375％罗哌卡因10 ml或l％利多卡因10 ml进行阴茎背神经阻滞麻醉，记录麻醉持续时间，术中、术后1小时、术后2小时、术后24 h内镇痛效果。结果罗哌卡因组术中无出现疼痛，手术顺利完成；利多卡因组有18例在25分钟后出现程度轻度疼痛，5例手术30分钟后明显疼痛，不能耐受手术，需重新麻醉。两组均未观察到不良事件。结论0．375％罗哌卡因行阴茎背神经阻滞麻醉下行包皮环切术术中麻醉及术后镇痛效果好，镇痛时间长，安全性好，是包皮环切术阴茎背神经阻滞麻醉的理想药物。
목적：관찰라고잡인재포피배절술적술중마취화술후진통효과。방법채용수궤선택포피배절술환자120례，수궤분위라고잡인조화리다잡인조，매조60례，분별용0．375％라고잡인10 ml혹l％리다잡인10 ml진행음경배신경조체마취，기록마취지속시간，술중、술후1소시、술후2소시、술후24 h내진통효과。결과라고잡인조술중무출현동통，수술순리완성；리다잡인조유18례재25분종후출현정도경도동통，5례수술30분종후명현동통，불능내수수술，수중신마취。량조균미관찰도불량사건。결론0．375％라고잡인행음경배신경조체마취하행포피배절술술중마취급술후진통효과호，진통시간장，안전성호，시포피배절술음경배신경조체마취적이상약물。
Objective To observe the effect of anesthesia and postoperative analgesia with ropivacaine in circumcision surgery. Methods a random selection of circumcision 120 cases patients, randomly divided into ropivacaine group and lidocaine group, 60 cases in each group, respectively with 0.375% ropivacaine 10 ml or l% lidocaine 10 ml of dorsal penile nerve block anesthesia, anesthesia duration, intraoperative, postoperative 1 hours, 2 hours after the surgery, postoperative 24 h internal analgesic effect. Results no pain ropivacaine group operation, operation completed successfully; lidocaine group there were 18 cases appeared mild pain in 25 minutes, 30 minutes after operation 5 cases of obvious pain, can not tolerate the operation, need to anesthesia. The two groups were no adverse events were observed. Conclusion 0.375% ropivacaine penile dorsal nerve block anesthesia circumcision analgesic effect of anesthesia and postoperative analgesia in resection of good, long time, good security, is circumcision ideal drug of dorsal penile nerve block anesthesia.