复方利多卡因软膏用于小儿包皮环切术后镇痛观察.doc

复方利多卡因软膏用于小儿包皮环切术后镇痛观察【中图分类号】R619 【文献标识码】A 【文章编号】1672－3783(2011)12－0398－01 【摘要】目的：观察复方利多卡因软膏复合少量芬太尼用于小儿包皮环切术后的镇痛效果。方法：选取我院自2011年1月至3月收治的120例包皮环切术患儿随机分为4组：复方利多卡因软膏+芬太尼注射液术后镇痛组（H1）；芬太尼注射液术后镇痛组（H2）；复方利多卡因软膏术后镇痛组（H3）；对照组（H4）。观察比较各组患儿在术后苏醒时的躁动情况；术后不同时间点（术后4h,24h）切口的疼痛程度和不良反应。结果：（1）各组在术后躁动程度上比较均有显著差异，H1和H2，H3发生躁动程度低于H4。（2）H1、H2、H3组在术后不同时间点切口时的疼痛程度均有差异；各时间点H1疼痛程度低于H2、H3组。（3）各组无明显严重的不良反应。结论：复方利多卡因软膏复合少量芬太尼注射液用于小儿包皮环切术后的镇痛安全，有效，可以减少术后躁动的发生 【关键词】复方利多卡因软膏；包皮环切术；术后镇痛 Postoperative Analgesia Observation of Children Circumcision with Compound Lidocaine Ointment 【Abstract】Objective: To observe postoperative analgesia effects of children circumcision with compound lidocaine ointment combined with small amount of fentanyl. Method: Selected 120 cases of children patients of circumcision treated in our hospital from January to March 2011 into four groups randomlly: lidocaine ointment compound after injection of fentanyl analgesia group (H1); fentanyl Nepalese injection analgesia group (H2); compound lidocaine ointment postoperative analgesia group (H3); the control group (H4). The agitation conditions in the postoperative recovery time of the children in these groups, the incision pain and adverse reactions after different time points (after 4h, 24h) were observed and compared. Results: (1)There was significant difference among the agitation conditions after operation, H1 and H2, H3 was lower than H4. (2)There was difference among the incision pain at different time points, H1 was lower than H2, H3. (3) There were no obvious adverse reactions in these groups. Conclusion: It is safe and effective for us to use compound lidocaine ointment combined with small amount of fentanyl in the treatment of postoperative analgesia, can reduce the incidence of postoperative agitation. 【Key words】compound lidocaine ointment; circumcision; postoperative analgesia 包皮过长和包茎系临床较为常见的疾病，往往影响阴茎的正常发育，且常因冠状沟处分泌物积聚导致包皮龟头炎症，故应该早期采取治疗措施［1］。包皮环切术是小儿较为常见的短小手术，但由于手术后切口疼痛明显，往往影响患儿的生活质量［2］。我院每年近千例小儿包