论文部分内容阅读
目的:探讨适合小儿术后镇痛的理想方式。方法:选择诊断为尿道下裂,择期行尿道成形术的小儿60例,随机分为两组,静脉镇痛组(Ⅰ组,n=30)术后静脉采用:每天曲马多4mg/kg~5mg/kg恩丹西酮0.05 mg/kg进行术后镇痛,硬膜外镇痛组(Ⅱ组,n=30)术后硬膜外采用:每天芬太尼2ug/kg+布比卡因2mg/kg恩丹西酮0.05mg/kg进行术后镇痛。结果:两组间镇痛评定无显著差异,但Ⅱ组术后并发症发生率较高一些,P<0.05,存在明显差异。结论:小儿术后镇痛的方式以静脉自控镇痛(PCIA)更为适宜。
Objective: To explore the ideal way for postoperative analgesia in children. Methods: Sixty children diagnosed as hypospadias and elective urethroplasty were randomly divided into two groups: intravenous analgesia (group Ⅰ, n = 30): intravenous tramadol 4 mg / kg ~ 5 mg / kg of ondansetron 0.05 mg / kg for postoperative analgesia and epidural analgesia (group Ⅱ, n = 30). Epidural use was given after daily fentanyl 2ug / kg + bupivacaine 2mg / kg ondansetron 0.05mg / kg postoperative analgesia. Results: There was no significant difference between the two groups in the assessment of analgesia, but the incidence of postoperative complications in group Ⅱ was higher (P <0.05). There was a significant difference. CONCLUSIONS: Postoperative analgesia in children is more appropriate for intravenous controlled analgesia (PCIA).