首页|奥布卡因凝胶在儿童包皮粘连手法分离中的镇痛效果及安全性分析

奥布卡因凝胶在儿童包皮粘连手法分离中的镇痛效果及安全性分析

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目的 分析儿童包皮粘连手法分离中使用奥布卡因凝胶的镇痛效果及安全性。方法 选取86例实施包皮粘连手法分离患儿,按镇痛药物不同划分为研究组(43例)和对照组(43例)。对照组患儿不采用任何镇痛药物,研究组患儿使用奥布卡因凝胶镇痛。比较两组患儿镇痛前后的血流动力学指标,术后0。5、2 h的镇痛情况,手术总用时和疼痛恢复时间,术后并发症发生情况。结果 镇痛前两组患儿的血流动力学指标无显著差异(P>0。05);镇痛后研究组患儿的心率(95。31±5。18)次/min比对照组的(100。46±6。29)次/min低,呼吸频率(20。15±1。03)次/min、血氧饱和度(98。01±0。32)% 比对照组的(18。36±1。25)次/min、(96。05±0。48)% 高,差异有统计学意义(P<0。05)。术后2 h,两组患儿的镇痛评分均比本组术后0。5 h低,且术后0。5、2 h研究组患儿镇痛评分(5。01±0。76)、(3。54±1。05)分均比对照组的(7。52±0。78)、(4。92±1。01)分低,差异有统计学意义(P<0。05)。研究组患儿手术总用时(26。46±4。21)min、疼痛恢复时间(73。43±10。41)min均比对照组的(31。54±5。16)、(122。57±15。32)min短,差异有统计学意义(P<0。05)。研究组患儿并发症发生率6。98% 与对照组的23。26% 相比更低,差异有统计学意义(P<0。05)。结论 儿童包皮粘连手法分离中使用奥布卡因凝胶具有更好的镇痛效果,可有效改善患儿的血流动力学指标,使其疼痛程度有效降低,减少患儿手术时间,且患儿使用后不会有严重的并发症,具有较高的安全性。
Analgesic effect and safety analysis of oxybuprocaine gel in manual separation of adherent prepuce in children
Objective To analyze the analgesic effect and safety analysis of oxybuprocaine gel in manual separation of adherent prepuce in children. Methods A total of 86 children receiving manual separation of adherent prepuce were divided into a study group (43 cases) and a control group (43 cases) according to different analgesic drugs. Children in the control group did not use any analgesic drugs,and children in the study group used oxybuprocaine gel for analgesia. The hemodynamic indexes before and after analgesia,analgesia at 0.5 and 2 h postoperatively,total operation time and pain recovery time,and the occurrence of postoperative complications were compared between the two groups. Results Before analgesia,there were no significant differences in hemodynamic indexes between the two groups (P>0.05). After analgesia,the heart rate of (95.31±5.18) beats/min in the study group was lower than (100.46±6.29) beats/min in the control group;the respiratory rate and oxygen saturation were (20.15±1.03) beats/min and (98.01±0.32)% in the study group,which were higher than (18.36±1.25) beats/min and (96.05±0.48)% in the control group;the difference was statistically significant (P<0.05). At 2 h postoperatively,the analgesia score in both groups were lower than that at 0.5 h postoperatively in this group;at 0.5 and 2 h postoperatively,the analgesic scores were (5.01±0.76) and (3.54±1.05) points in the study group,which were lower than (7.52±0.78) and (4.92±1.01) points in the control group;the difference was statistically significant (P<0.05). The study group had total operation time of (26.46±4.21) min and pain recovery time of (73.43±10.41) min,which were shorter than (31.54±5.16) and (122.57±15.32) min in the control group,and the difference was statistically significant (P<0.05). The complication rate of 6.98% in the study group was lower than 23.26% in the control group,and the difference was statistically significant (P<0.05). Conclusion The use of oxybuprocaine gel in the manual separation of adherent prepuce in children has better analgesic effect,and can effectively improve the hemodynamic indexes of children,effectively reduce the pain level of children,reduce the operation time of children,and will not have serious complications,with high safety.

Oxybuprocaine gelAdherent prepuceManual separationAnalgesic effectSecurity

汤鹏飞

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264200 威海市妇幼保健院小儿外科

奥布卡因凝胶 包皮粘连 手法分离 镇痛效果 安全性

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(20)