Analysis of the Application Effect of Butorphanol,Dezocine Combined with ERAS and Systematic Analgesia Management in Pediatric Anesthesia
时建林 1张晓楠 1孙利红 1冯彦红 1马西迁 1成林树 1付利英1
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作者信息
1. 石家庄市妇幼保健院麻醉科 河北石家庄 050000
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摘要
目的:探讨布托啡诺、地佐辛联合加速术后康复外科(ERAS)、系统化镇痛管理在小儿麻醉中的应用效果.方法:采用随机数字表法将97例需行手术治疗的患儿分为对照组(接受布托啡诺、地佐辛治疗,n=48)和观察组(对照组基础上接受ERAS、系统化镇痛管理治疗,n=49).对比两组疼痛视觉模拟评分(VAS)、Wong-Baker面部表情疼痛评分量表(FPS)评分、Ramsay镇静评分、平均动脉压(MAP)、心率(HR)、不良反应发生率变化情况.结果:观察组术后6 h Ramsay镇静评分高于对照组,FPS、VAS评分低于对照组(P＜0.05).手术开始至手术结束后,观察组MAP、HR高于对照组(P＜0.05).两组患儿不良反应发生率对比未见统计学差异(P＞0.05).结论:布托啡诺、地佐辛联合ERAS、系统化镇痛管理应用于小儿麻醉,可有效镇静镇痛,维持血流动力学稳定,具有较好的安全性.
Abstract
Objective:To explore the application effect of butorphanol and dezocine combined with enhanced recovery after surgery(ERAS)and systematic analgesia management in pediatric anesthesia.Methods:97 children who needed surgical treatment were divided into control group(treated with butorphanol and dezocine,n=48)and observation group(treated with ERAS and systematic analgesia management on the basis of control group,n=49)by random number table method.The visual analogue scale(VAS),Wong-Baker facial expression pain scale(FPS)score,Ramsay sedation score,anesthesia awake time,orientation recovery time,mean arterial pressure(MAP),heart rate(HR)and incidence of adverse reactions were compared between two groups.Results:The Ramsay sedation score at 6 h after operation in observation group was higher than that in control group,and FPS and VAS scores were lower than those in control group(P＜0.05).From the start of operation until after operation,MAP and HR in observation group were higher than those in control group(P＜0.05).Comparison of the incidence of adverse reactions between two groups of children did not show any statistical difference(P＞0.05).Conclusion:The application of butorphanol,dezocine combined with ERAS and systematic analgesia management in pediatric anesthesia,which can effectively sedation and analgesia,maintain hemodynamic stability,and have good safety.
关键词
布托啡诺/地佐辛/加速术后康复外科/系统化镇痛管理/小儿麻醉
Key words
Butorphanol/Dezocine/Enhanced recovery after surgery/Systematic analgesia management/Pediatric anesthesia
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