广西医学
廣西醫學
엄서의학
GUANGXI MEDICAL JOURNAL
2014年
7期
912-914
,共3页
邓铸强%林红%钟海清%卢少红%程俭%杨广生%陈日胜
鄧鑄彊%林紅%鐘海清%盧少紅%程儉%楊廣生%陳日勝
산주강%림홍%종해청%로소홍%정검%양엄생%진일성
舒芬太尼%超前镇痛%情绪%腹腔镜手术%小儿
舒芬太尼%超前鎮痛%情緒%腹腔鏡手術%小兒
서분태니%초전진통%정서%복강경수술%소인
Sufentanil%Preemptive analgesia%Emotion%Laparoscopic surgery%Children
目的:观察小剂量舒芬太尼超前镇痛对小儿腹腔镜术后疼痛及情绪的影响。方法80例择期行快通道腹腔镜手术患儿按随机数字表分为两组,每组40例。切皮前30 min,观察组静脉注射舒芬太尼0.25~0.5μg/kg,对照组静脉注射相同容量的生理盐水。分别于术后4 h、12 h、24 h,用Wong-Banker面部表情量表法(FPS-R)评价主观镇痛效果,用儿童疼痛观察评分量表(POCIS)评价客观镇痛效果;用Ramsay法评价镇静效果。结果两者患儿术后镇痛效果FPS-R、POCIS评分及镇静Ramsay评分均随着时间延长而下降( P<0.01),且观察组FPS-R、POCIS评分均低于对照组(P<0.05),镇静Ramsay评分高于对照组(P<0.05)。两组均无明显不良反应发生。结论小剂量舒芬太尼超前镇痛在小儿快通道腹腔镜术的应用可减轻患儿术后疼痛,稳定患儿情绪,安全性高。
目的:觀察小劑量舒芬太尼超前鎮痛對小兒腹腔鏡術後疼痛及情緒的影響。方法80例擇期行快通道腹腔鏡手術患兒按隨機數字錶分為兩組,每組40例。切皮前30 min,觀察組靜脈註射舒芬太尼0.25~0.5μg/kg,對照組靜脈註射相同容量的生理鹽水。分彆于術後4 h、12 h、24 h,用Wong-Banker麵部錶情量錶法(FPS-R)評價主觀鎮痛效果,用兒童疼痛觀察評分量錶(POCIS)評價客觀鎮痛效果;用Ramsay法評價鎮靜效果。結果兩者患兒術後鎮痛效果FPS-R、POCIS評分及鎮靜Ramsay評分均隨著時間延長而下降( P<0.01),且觀察組FPS-R、POCIS評分均低于對照組(P<0.05),鎮靜Ramsay評分高于對照組(P<0.05)。兩組均無明顯不良反應髮生。結論小劑量舒芬太尼超前鎮痛在小兒快通道腹腔鏡術的應用可減輕患兒術後疼痛,穩定患兒情緒,安全性高。
목적:관찰소제량서분태니초전진통대소인복강경술후동통급정서적영향。방법80례택기행쾌통도복강경수술환인안수궤수자표분위량조,매조40례。절피전30 min,관찰조정맥주사서분태니0.25~0.5μg/kg,대조조정맥주사상동용량적생리염수。분별우술후4 h、12 h、24 h,용Wong-Banker면부표정량표법(FPS-R)평개주관진통효과,용인동동통관찰평분량표(POCIS)평개객관진통효과;용Ramsay법평개진정효과。결과량자환인술후진통효과FPS-R、POCIS평분급진정Ramsay평분균수착시간연장이하강( P<0.01),차관찰조FPS-R、POCIS평분균저우대조조(P<0.05),진정Ramsay평분고우대조조(P<0.05)。량조균무명현불량반응발생。결론소제량서분태니초전진통재소인쾌통도복강경술적응용가감경환인술후동통,은정환인정서,안전성고。
Objective To observe the effects of low-dose sufentanil preemptive analgesia on children′s pain and emotion after fast-channel laparoscopic surgery .Methods Eighty children scheduled for fast-channel laparoscopic surgery were divided into two groups according to the random number table ,40 cases in each group .The observation group received intravenous injection of sulfentanil ( 0 .25 -0 .5 μg/kg ) 30 minutes before skin incision while the control group received equal volume of normal saline .Four,12 and 24 hours after operation ,the Wong-Banker FACES pain rating scale-revised ( FPS-R ) was used to assess the subjective analgesia effect , the pain observation scale for young children(POCIS) was used to assess objective analgesia effect ,and Ramsay scale was used to assess sedation effect.Results After operation,the FPS-R,POCIS and Ramsay scores decreased with increasing time in two groups (P<0.01),the FPS-R and POCIS scores in the observation group were lower than those in the control group (P<0.05), the Ramsay score in the observation group was higher than that in the control group (P<0.05).There were no significant adverse reactions in two groups .Conclusion Low-dose sufentanil preemptive analgesia applied to children undergoing fast-channel laparoscopic surgery can significantly alleviate postoperative pain ,stabilize the children′s emotion,and with high safety .