首页|小儿隐匿性阴茎术后镇痛不同剂量舒芬太尼的应用分析

小儿隐匿性阴茎术后镇痛不同剂量舒芬太尼的应用分析

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目的:探讨小儿隐匿性阴茎术后镇痛使用不同剂量舒芬太尼的效果.方法:将2020年6月~2021年6月在医院择期行小儿隐匿性阴茎术患儿80例使用随机数表法分为2组(S1组、S2组),均实施全麻,S2组术后给予托烷司琼0.1 mg/kg+舒芬太尼2 μg/kg,S1组术后给予托烷司琼0.1 mg/kg+舒芬太尼1 μg/kg,比较两组镇静、镇痛、补救镇痛及不良反应.结果:术后4、8、12 h时,S2组的Ramsay镇静评分均比S1组高(P<0.05);术后4、8、12、24、48 h时,S2组的视觉模拟评分法(VAS)评分比S1组低(P<0.05);S2组补救镇痛率0.00%(0/40)比S1 组 15.00%(6/40)低(P<0.05),S2 组不良反应发生率 10.00%(4/40)与 S1 组 5.00%(2/40)比较,无统计学差异(P>0.05).结论:小儿隐匿性阴茎术后给予舒芬太尼2 μg/kg可获得满意的镇静、镇痛效果,可降低补救镇痛率,且有较高的安全性.
Application Analysis of Different Doses of Sufentanil for Postoperative Analgesia in Children with Concealed Penis Surgery
Objective:To explore the effect of different doses of sufentanil on postoperative analgesia in children with concealed penile surgery.Methods:Eighty children who underwent elective pediatric concealed penile surgery from June 2020 to June 2021 were randomly divided into two groups(S1 group and S2 group)using a random number table method.Both groups received general anesthesia,and the S2 group received tropisetron 0.1 mg/kg+sufentanil 2 μg/kg after surgery,S1 group received postoperative administration of tropisetron 0.1 mg/kg+sufentanil 1 μg/kg,in addition,compare the sedation,analgesia,remedial analgesia,and adverse reactions be-tween the two groups.Results:At 4,8,and 12 hours after surgery,the Ramsay sedation scores in the S2 group were higher than those in the S1 group(P<0.05).At 4,8,12,24,and 48 hours after surgery,the visual analogue scale(VAS)score in the S2 group was lower than that in the S1 group(P<0.05).The rescue and an-algesic rate of S2 group was 0.00%(0/40)which was significantly lower than that in the S1 group(15.00%,6/40))(P<0.05).There was no statistically significant difference(P>0.05)in the incidence of adverse reactions between S2 group(10.00%,4/40)and S1 group(5.00%,2/40).Conclusion:It can achieve satisfactory seda-tive and analgesic effects,reduce the rate of remedial analgesia,and has high safety with the treatment of postop-erative administration of sufentanil in children with concealed penile surgery 2μg/kg.

concealed penissurgerysufentanilcalm downanalgesiaadverse reactions

李帆、陈艾琼、刘荣、杨桥

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赣州市妇幼保健院 麻醉科,江西 赣州 341000

隐匿性阴茎 手术 舒芬太尼 镇静 镇痛 不良反应

2024

宜春学院学报
宜春学院

宜春学院学报

影响因子:0.271
ISSN:1671-380X
年,卷(期):2024.46(6)