首页|外用罗哌卡因喷雾缓解儿童扁桃体切除术后疼痛的效果观察

外用罗哌卡因喷雾缓解儿童扁桃体切除术后疼痛的效果观察

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目的 评估1%罗哌卡因喷剂对减轻儿童扁桃体切除术后疼痛的效果.方法 选择2022年4月至2023年4月于延边大学附属医院耳鼻咽喉头颈外科收治的64例行双侧扁桃体切除术或扁桃体+腺样体切除术的患儿.采用随机对照表法分为观察组和对照组,观察组采用1%罗哌卡因喷剂,对照组采用0.9%生理盐水喷剂.应用Wong-Baker面部表情量表进行疼痛评估,记录两组术后第1天、第2天、第3天、第4天早晨和晚间的疼痛评分.结果 观察组在术后第1天、第2天、第3天、第4天早晨和晚间的疼痛评分均显著低于对照组,差异比较具有统计学意义(P均<0.05).结论1%罗哌卡因喷剂对缓解儿童扁桃体术后疼痛具有良好的疗效,可减轻患儿术后疼痛程度,且方法操作便捷,副作用较小.
Topical ropivacaine spray relieves post-tonsillectomy pain in children
Objective To assess the efficacy and safety of 1%ropivacaine spray for relieving postoperative pain in children with tonsillectomy.Methods A total of 64 children who underwent bilateral tonsillectomy or tonsillectomy with adenoidectomy(T&A)were selected from the Department of Otorhinolaryngology Head and Neck Surgery,Yanbian University Hospital(Yanbian Hospital)from April 2022 to April 2023.The experimental group received 1%topical ropivacaine spray,and the control group received 0.9%saline spray.Pain assessment was performed by Wong-Baker facial expression scale,and pain scores of the first,second,third and fourth postoperative days in the morning and evening of the two groups were recorded.Results The pain scores of the experimental group in the morning and evening of the 1st,2nd,3rd and 4th day after surgery were significantly lower than those of the control group(P<0.05).Conclusions The use of topical 1%ropivacaine spray to relieve postoperative tonsillar pain in children is easy to operate,with fewer side effects,which is clinically useful.

ChildTonsillectomyPain,PostoperativeTreatment Outcomeropivacaine

司淑瑞、翟贯虹、张志强、崔哲洙、赵鑫泰

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延边大学附属医院(延边医院)耳鼻咽喉头颈外科,延吉 133000

吉林省人民医院耳鼻咽喉科,长春 130000

聊城市人民医院手术室,聊城 252000

儿童 扁桃体切除术 疼痛,手术后 治疗结果 罗哌卡因

2024

国际耳鼻咽喉头颈外科杂志
中华医学会 北京市耳鼻咽喉科研究所

国际耳鼻咽喉头颈外科杂志

影响因子:0.225
ISSN:1673-4106
年,卷(期):2024.48(4)
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