Effect of Ropivacaine Combined with Esketamine in Children with Multi-finger Operation
Objective To investigate the application value of ropivacaine combined with esketamine in pediatric multi-finger surgery.Methods A total of 109 children who received multi-finger resection in the hospital from December 2022 to June 2023 were retrospectively selected and divided into control group(54 cases)and study group(55 cases)according to anesthesia protocols.Both groups underwent axillary brachial plexus block.Children anesthetized with ropivacaine were included in the control group,and those anesthetized with ropivacaine combined with esketamine were included in the study group.The operation and anesthesia of the two groups were compared.The vital signs(heart rate,blood oxygen saturation and mean arterial pressure)of the two groups were compared before surgery(To),at incision time(T1),10 minutes(To),20 minutes(T3)and 30 minutes(T4)after incision as time nodes.Children's pain behavior(face,legs,activity,crying,consolability,FLACC)scale scores,adverse reactions and comprehensive satisfaction were compared at different time points(preoperative,postoperative 3,6,12,24 hours).Results The levels of heart rate and mean arterial pressure in the study group at T2-T4 were lower than those in the control group(P＜0.05).The FLACC scores of the study group at 3,6,12 and 24 hours after operation were lower than those of the control group(P＜0.05).The total satisfaction of the study group[96.36％(53/55)]was higher than that[81.48％(44/54)]of the control group(P＜0.05).There was no statistical difference in the total incidence of adverse reactions between the control group[9.26％(5/54)]and the study group[5.45％(3/55)](P＞0.05).Conclusion Ropivacaine combined with esketamine anesthesia can effectively stabilize the hemodynamic level of children during the operation,and it is safe and reliable,and the overall satisfaction of the families of children is high.
ropivacaineesketamineaxillary brachial plexus blockmultiple finger excision in childrenhemodynamic levelanalgesic effect
万方数据
维普
