复方利多卡因软膏用于小儿包皮环切术后镇痛的观察（职称论文资料）.docVIP

复方利多卡因软膏用于小儿包皮环切术后镇痛的观察（职称论文资料） 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：复方利多卡因软膏用于小儿包皮环切术后镇痛的观察 1 1 资料与方法 2 2 结果 4 3 讨论 5 文2：正颌手术中术后镇痛的临床反应观察 6 n=19， 10 参考文摘引言： 11 原创性声明（模板） 13 文章致谢（模板） 13 正文 复方利多卡因软膏用于小儿包皮环切术后镇痛的观察（职称论文资料） 文1：复方利多卡因软膏用于小儿包皮环切术后镇痛的观察 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 conditio in the postoperative recovery time of the children in these groups， the incision pain and advee reactio after different time points (after 4h， 24h) were observed and compared. Results: (1)There was significant difference among the agitation conditio 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 advee reactio 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皮环切手术，现本文主要探讨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镇痛的有效性和安全性。 1 资料与方法 一般资料选取我院2011年1月至3月，择期包皮环切术120例，术前ASA评级Ⅰ-Ⅱ，年龄3-8岁，病例排除：患儿术前有应用其它镇痛药，智力低下，对局麻药或阿片类过敏者，严重超重或低重者，手术过程出现严重并发症，病例脱落：术后出现严重并发症（如术后大出血） 麻醉及术后镇痛方法 所有患儿术前禁饮禁食6