摘要
目的探讨复方利多卡因乳膏在小儿包皮粘连手法分离患儿中的镇痛效果。方法选取2020年1月至2021年7月江西省儿童医院收治的120例行小儿包皮粘连手法分离患儿作为研究对象,按照随机数字表法分为观察组和对照组,每组60例。对照组运用常规护理,观察组使用复方利多卡因乳膏,比较两组患儿术中血流动力学状况、术后镇痛程度情况、术中依从性评分、手术总时长与疼痛恢复时间,比较两组患儿不良反应发生率。结果麻醉前,两组患儿心率(HR)、血氧饱和度(SPO_(2))和呼吸频率(RR)比较,差异无统计学意义(P>0.05);麻醉后30 min,两组患儿HR快于本组麻醉前,SPO_(2)低于本组麻醉前,RR慢于本组麻醉前,且观察组患儿HR慢于对照组,SPO_(2)高于对照组,RR快于对照组,差异有统计学意义(P<0.05);观察组患儿术后30 min、2 h镇痛评分高于对照组,差异有统计学意义(P<0.05);观察组患儿手术总时长及疼痛恢复时间均短于对照组,术中依从性评分高于对照组,差异有统计学意义(P<0.05);观察组不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论复方利多卡因乳膏应用于小儿包皮粘连手法分离麻醉效果良好,能够提高患儿术中依从性,有效缩短手术时间,减轻患儿疼痛,以防术后不良反应的发生。
Objective To investigate the analgesic effect of Compound Lidocaine Cream on children undergoing manual separation of adherent prepuce.Methods A total of 120 children underwent manual separation of adherent prepuce in Jiangxi Provincial Children's Hospital from January 2020 to July 2021 were selected as research objects.They were divided into observation group and control group by random number table method,with 60 children in each group.The control group received routine nursing,and the observation group received Compound Lidocaine Cream.The intraoperative hemodynamic status,postoperative analgesia level,intraoperative compliance score,total operation time,and pain recovery time of two groups of children were compared,and the incidence of adverse reactions between the two groups of children was compared.Results There were no statistically significant differences in heart rate(HR),blood oxygen saturation(SPO_(2))or respiratory rate(RR)between two groups before anesthesia(P>0.05).At 30 min after anesthesia,HR in the two groups was higher than that before anesthesia,SPO_(2) and RR were lower than those before anesthesia.HR in the observation group was lower than that in the control group,and SPO_(2) and RR were higher than those in the control group,the differences were statistically significant(P<0.05).The analgesia scores of the observation group at 30 min and 2 h after operation were higher than those of the control group,the differences were statistically significant(P<0.05).The total operation time and pain recovery time in the observation group were shorter than those in the control group,and the intraoperative compliance score was higher than that of the control group,the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Compound Lidocaine Cream can achieve good anesthetic effect in children undergoing manual separation for adherent prepuce.It can improve the children's compliance during operation,effectively shorten the operation time,alleviate pain,and prevent the occurrence of postoperative adverse reactions.
作者
胡文琴
康杰
HU Wenqin;KANG Jie
出处
《中国当代医药》
CAS
2023年第23期193-196,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(20203725)。
关键词
复方利多卡因乳膏
小儿包皮粘连手法分离
疼痛
镇痛
Compound Lidocaine Cream
Manual separation of adherent prepuce in children
Pain
Analgesia
作者简介
通讯作者:康杰。
