小儿阴部神经阻滞与骶管阻滞的镇痛效果比较被引量：1

Comparison of analgesic effects of pudendal nerve block and sacral block in children

下载PDF

导出

摘要目的比较阴部神经阻滞与骶管阻滞在小儿隐匿性阴茎延长术术后的镇痛效果。方法将54例行小儿隐匿性阴茎延长术的患儿随机分为阴部神经阻滞组与骶管阻滞组,每组各27例术后分别实施阴部神经阻滞与骶管阻滞,比较两组苏醒后24小时疼痛程度及术后曲马多使用次数。结果苏醒后24小时,阴部神经阻滞组CHEOPS评分显著低于骶管阻滞组,差异有统计学意义(P<0.05);各个时间点阴部神经阻滞组曲马多使用次数均显著少于骶管阻滞组,差异有统计学意义(P<0.05)。结论小儿隐匿性阴茎延长术术后应用阴部神经阻滞可获得比骶管阻滞更佳的镇痛效果,且阵痛时间较后者有所延长。

作者潘甜刘洋胡四平 PAN Tian;LIU Yang;HU Siping

机构地区湖州市中心医院

出处《浙江实用医学》 2018年第6期412-413,共2页 Zhejiang Practical Medicine

关键词隐匿性阴茎延长术术后镇痛阴部神经阻滞骶管阻滞

分类号 R726.1 [医药卫生—儿科]

引文网络
相关文献

参考文献3

1高洁,毕翻利,党璐,何秀莉,胡彬.七氟醚联合骶管阻滞麻醉对小儿疝气手术的麻醉效果分析[J].现代生物医学进展,2017,17(10):1934-1937. 被引量：26
2苏和.相同浓度左旋布比卡因与罗哌卡因用于小儿骶管麻醉的效果评价[J].包头医学,2017,41(1):7-9. 被引量：4
3白耀武.阴部神经阻滞用于尿道下裂术后辅助镇痛的效果[J].河北医药,2014,36(13):1987-1989. 被引量：1

二级参考文献23

1徐东娟,王克芳.婴幼儿的疼痛评估[J].护理学杂志,2005,20(17):78-80. 被引量：9
2Ziada A, Hamza A, Abdel-Rassoul M, et al. Outcomes of hypospadias re- pair in older children : a prospective study. J Urol,2011,185:2483-2485.
3Hannallah RS, Broadman LM, Belman AB, et al. Comparison of caudal and ilioinguinal/iliohypogastric nerve blocks for control of post-orchio- pexy pain in pediatric ambulatory surgery. Anesthesiology, 1987,66:832.
4Hannallah R,Broadman L. Objective Pain Scale (OPS) of Hanallah et al for Postoperative Pain Assessment. Available at: www. cebp. hi/vault_ public/filesystem/? ID = 1438. Accessed on June 8,2008.
5Bmadman LM, Rice LJ, Hannallah RS. Comparison of physiological and a visual analogue pain scale in children. Can J Anaesth, 1988,35:137-138.
6Naja Z, Al-Tannir MA, Faysal W, et al. A comparison of pudendal block vs dorsal penile nerve block for circumcision in children : a randomised controlled trial. Anaesthesia,2011,66:802-807.
7Bromage PR. Epidural Analgesia. Philadelphia, PA. WB Saunders, 1978. 144.
8Jakobsson J, Rane K. Anaesthesia for short outpatient procedures. A com- parison between thiopentone and propofol in combination with fentanyl or alfentanil. Acta Anaesthesiol Scand, 1995,39:503-507.
9Lehmann K A. Tramadol in acute pain. Drugs, 1997,53:25-33.
10Grossi P, Urmey WF. Peripheral nerve blocks for anaesthesia and post- operative analgesia. Curt Opin Anaesthesiol,2003,16:493-501.