网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
氟比洛芬酯用于小儿包皮环切术后镇痛的临床观察
作者:黄锡强 张志刚 李斌飞 
单位:中山市人民医院麻醉科
关键词:氟比洛芬酯 利多卡因 小儿镇痛 包皮环切术 
分类号:
出版年·卷·期(页码):2012·40·第二期(167-170)
摘要:

目的:观察氟比洛芬酯注射液痛用于小儿包皮环切术后的镇痛效果及安全性。方法:择期行包皮环切术小儿120 例, 随机分为4 组。A 组为对照组,于手术结束后环切伤口处喷洒生理盐水3 ml,B 组为超前镇痛组,于手术开始前5 min缓慢静脉注射氟比洛芬酯脂1 mg/kg, 并于手术结束后环切伤口处喷洒生理盐水3 ml,C 组为术后镇痛组,于手术结束时缓慢静脉注射氟比洛芬酯脂1 mg/kg,并于手术结束后环切伤口处喷洒生理盐水3 ml,D 组为利多卡因组,于手术结束后环切伤口处喷洒2% 利多卡因3 ml。观察术后患儿麻醉后复苏评分、镇静评分、镇痛评分,记录苏醒时间、首次排尿时间和副作用等出现情况。结果:4 组患儿麻醉后复苏评分、镇静评分、苏醒时间、副作用的比较差异均无显著性(P>0.05),各点镇痛评分B组、C 组各时间点疼痛评分低于A 组, B 组也低于C 组(P<0.05),而D 组与B 组的0.5h 和1h 时间点比较差异无显著性(P>0.05),其余时间点比较差异有显著性(P<0.05),结论: 氟比洛芬酯静脉使用能有效减轻包皮环切术后患儿急性疼痛, 超前使用效果更佳,且无明显不良反应, 可安全用于小儿术后镇痛。而局部使用利多卡因能起到短效镇痛作用。

Ojective: To investigate the safety and efficacy of flurbiprofen for postoperative pain relief in children undergone circumcision. Method: 120 children undergoing circumcision were randomly divided into 4 groups. Group A was control group: 3 ml normal saline was sprayed on the ring cutting wound; Group B was preemptive analgesia group: 5 min before surgery, 1 mg/kg flurbiprofen was slowly intravenous injected and 3 ml normal saline was sprayed on the ring cutting wound at the end of the circumcision; Group C was postoperative analgesia group: 1 mg/kg flurbiprofen was slowly intravenous injected immediately after surgery and 3 ml normal saline was sprayed on the ring cutting wound; Group D was lidocaine group: 3 ml 2% lidocaine was sprayed on the ring cutting wound at the end of the circumcision. Postoperative recovery score, sedation score, pain score, wake-up time, first urination time and side effects were recorded. Results: Recovery score, sedation score, wake-up time and side effects were not differed significantly (P>0.05). Pain score in group B and group C at all time points were significantly lower than those in group A (P< 0.05). Pain score in group B at all time points were significantly lower than those in group C (P<0.05). Compared with group B, pain score in group D at 0.5h and 1h points were not differed significantly(P>0.05), and other time points showed marked differences (P<0.05). Conclusion: Flurbiprofen axetil injection could reduce acute pain in children undergoing circumcision safely, and more effective in preemptive analgesia without marked untoward effect. The local administration of lidocaine could offer short acting analgesia.

参考文献:
服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 753096 位访问者


 ©《现代医学》编辑部
联系电话:025-83272481;83272479
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541