摘要
目的评估1%罗哌卡因喷剂对减轻儿童扁桃体切除术后疼痛的效果。方法选择2022年4月至2023年4月于延边大学附属医院耳鼻咽喉头颈外科收治的64例行双侧扁桃体切除术或扁桃体+腺样体切除术的患儿。采用随机对照表法分为观察组和对照组,观察组采用1%罗哌卡因喷剂,对照组采用0.9%生理盐水喷剂。应用Wong-Baker面部表情量表进行疼痛评估,记录两组术后第1天、第2天、第3天、第4天早晨和晚间的疼痛评分。结果观察组在术后第1天、第2天、第3天、第4天早晨和晚间的疼痛评分均显著低于对照组,差异比较具有统计学意义(P均<0.05)。结论1%罗哌卡因喷剂对缓解儿童扁桃体术后疼痛具有良好的疗效,可减轻患儿术后疼痛程度,且方法操作便捷,副作用较小。
Objectivee To assess the efficacy and safety of 1%ropivacaine spray for relieving postoperative pain in children with tonsillectomy.Methods A total of 64 children who underwent bilateral tonsillectomy or tonsillectomy with adenoidectomy(T&A)were selected from the Department of Otorhinolaryngology Head and Neck Surgery,Yanbian University Hospital(Yanbian Hospital)from April 2022 to April 2023.The experimental group received 1%topical ropivacaine spray,and the control group received 0.9%saline spray.Pain assessment was performed by Wong-Baker facial expression scale,and pain scores of the first,second,third and fourth postoperative days in the morning and evening of the two groups were recorded.Results The pain scores of the experimental group in the morning and evening of the 1st,2nd,3rd and 4th day after surgery were significantly lower than those of the control group(P<0.05).Conclusions The use of topical 1%ropivacaine spray to relieve postoperative tonsillar pain in children is easy to operate,with fewer side effects,which is clinically useful.
作者
司淑瑞
翟贯虹
张志强
崔哲洙
赵鑫泰
Si Shurui;Zhai Guanhong;Zhang Zhiqiang;Cui Zhezhu;Zhao Xintai(Department of Otorhinolaryngology Head and Neck Surgery,Yanbian University Hospital(Yanbian Hospital),Yanji 133000,China;Department of Otorhinolaryngology,Jilin Provincial People's Hospital,Changchun 130000,China;Department of Operating Room,Liaocheng People's Hospital,Liaocheng 252000,China)
出处
《国际耳鼻咽喉头颈外科杂志》
2024年第4期192-195,共4页
International Journal of Otolaryngology-Head and Neck Surgery
作者简介
通信作者:崔哲洙,Email:cuizz2008@sina.com。
