氟比洛芬酯静注联合罗哌卡因棉球填塞扁桃体窝对扁桃体切除术患儿的镇痛效果分析  

Effect of flurbiprofen axetil combined with ropivacaine cotton ball packing of tonsillar fossa on the analgesic efficacy in children undergoing tonsillectomy

作　　者：刘文鹏 魏磊[2] 李光合 LIU Wenpeng;WEI Lei;LI Guanghe(Department of Anesthesiology,Wenshang People's Hospital,Jining,Shandong,272500,China;Department of Anesthesiology,Suzhou Municipal Hospital,Suzhou,Jiangsu,215002,China;Department of Otolaryngology,Wenshang People's Hospital,Jining,Shandong,272500,China)

机构地区：[1]汶上县人民医院麻醉科,山东济宁272500 [2]苏州市立医院麻醉科,江苏苏州215002 [3]汶上县人民医院耳鼻咽喉科,山东济宁272500

出　　处：《中国耳鼻咽喉头颈外科》2021年第3期175-177,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨氟比洛芬酯静注联合罗哌卡因棉球填塞扁桃体窝局部浸润在缓解扁桃体切除患儿术后疼痛方面的应用价值。方法 将83例全麻双侧扁桃体切除术患儿按照随机数字表法分为三组,其中单用1组28例、单用2组27例和联用组28例。三组患儿在麻醉诱导后分别采用氟比洛芬酯镇痛、罗哌卡因棉球镇痛和两者联合使用镇痛。评估三组患儿术后的视觉模拟量表(visual analogue scale,VAS)和麻醉苏醒期躁动量表(pediatric anesthesia emergence delirium,PEAD)评分,记录患儿追加镇痛药物情况以及术后不良反应的发生情况。结果单用1组和单用2组患儿在苏醒后不同时间点的VAS评分明显高于联用组患儿(P均<0.05);在拔管时及拔管后PAED评分均明显高于联用组患儿(P均<0.05);术后芬太尼使用比例明显高于联用组(P均<0.05)。结论氟比洛芬酯静注联合罗哌卡因棉球填塞扁桃体窝局部浸润在缓解扁桃体切除患儿术后疼痛和苏醒期躁动方面更具优势。OBJECTIVE To explore the application value of flurbiprofen axetil combined with ropivacaine cotton ball packing of tonsillar fossa in alleviating the pain after tonsillectomy in children.METHODS According to the random number table method,83 children with bilateral tonsillectomy under general anesthesia were divided into three groups,including group one with 28 cases,group two with 27 cases,and group three with 28 cases.After anesthesia induction,flurbiprofen axetil analgesia,ropivacaine cotton ball analgesia and combined use of both were used in the three groups seperately.The postoperative VAS score and PAED score were evaluated,and the situation of additional analgesics and the occurrence of postoperative adverse reactions were recorded.RESULTS The VAS scores in group one and group two were significantly higher than that in group three at different time points(P<0.05),and PAED scores at extubation and after extubation in group one and group two were significantly higher than that in group three (P<0.05),and the proportion of fentanyl used after operation was significantly higher in group one and group two than that in group three(P<0.05).CONCLUSION Intravenous flurbiprofen axetil combined with ropivacaine cotton ball to fill the tonsil fossa has more advantages in alleviating postoperative pain and restlessness during tonsillectomy in children.

关 键 词：扁桃体切除术 儿童 镇痛 氟比洛芬酯 罗哌卡因 

分 类 号：R726.1[医药卫生—儿科]