氟比洛芬酯用于小儿扁桃体摘除术后镇痛对体温及血糖的影响  

THE EFFECTS OF POSTOPERATIVE ANALGESIA WITH FLURBIPROFEN AXETIL ON TEMPERATURE AND BLOOD SUGAR IN CHILDREN UNDERGOING TONSILLECTOMY

作　　者：郭一闽[1] 王忱[1] 

机构地区：[1]福建医科大学教学医院厦门市第二医院麻醉科,厦门361021

出　　处：《中国疼痛医学杂志》2009年第5期263-265,共3页Chinese Journal of Pain Medicine

摘　　要：目的:观察氟比洛芬酯用于小儿扁桃体摘除术后镇痛对体温及血糖的影响。方法:行扁桃体摘除术患儿60例随机分3组。A、B组分别于术前、术后静脉注射氟比洛芬酯1mg/kg,C组为空白对照组。观察各时点体温及血糖变化,并记录镇痛、镇静评分及不良反应。结果:术后各时点A、B组的疼痛评分及血糖均明显低于C组(P<0.05)而A、B组间比较无明显差异(P>0.05)。术毕至术后6hA、B组体温明显低于C组(P<0.05),且A组明显低于B组(P<0.05)。三组均无过度镇静及相关不良反应发生。结论:术前或术后应用氟比洛芬酯均能有效缓解小儿扁桃体摘除术后发热及疼痛引起的血糖升高。Objective：To investigate the effects of postoperative analgesia with flurbiprofen axetil on temperature and glucose in children undergoing tonsillectomy. Methods： 60 children undergoing tonsillectomy were divided in to 3 groups randomly. Group A received flurbiprofen axetil prior to the operation while group B at the end of surgery, group C as control. The effects on temperature and glucose were estimated. Postoperative visual analogue scale （VAS）, the Ramsay sedation scale （RSS） and complications were also recorded. Results：The VAS and glucose in group A and B were significantly lower than those in group C. Temperature in group C were significantly higher than those in other two groups, temperature in group A were lowest from the operation ended to 6h postperatively. No difference was observed in sedation scale and complications. Conclusion ：The pre-/post-operative analgesia of flurbiprofen axetil can release children undergoing tonsillectomy from fever and hyperglycemia.

关 键 词：氟比洛芬酯 小儿 扁桃体摘除术 体温 血糖 

分 类 号：R726.1[医药卫生—儿科]