利多卡因联合布地奈德雾化对小儿鼾症术后疼痛及康复效果的影响  

Effect of Lidocaine Combined with Budesonide Atomization on PostoperativePain and Rehabilitation in Children with Snoring

作　　者：崔明[1] 王永贞[1] 陈丹丹[1] 郝丽 CUI Ming;WANG Yongzhen;CHEN Dandan;HAO Li(Children’s Hospital Affiliated to Zhengzhou University/Henan Provincial Children’s Hospital/Zhengzhou Children’s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州大学附属儿童医院/河南省儿童医院/郑州儿童医院,河南郑州450000

出　　处：《河南医学研究》2024年第7期1239-1242,共4页Henan Medical Research

摘　　要：目的探讨利多卡因联合布地奈德雾化对小儿鼾症术后疼痛及康复效果的影响。方法选取2022年1—12月在郑州大学附属儿童医院行小儿鼾症手术的118例患儿,随机分为两组,对照组59例和研究组59例,对照组接受生理盐水进行雾化吸入,研究组接受利多卡因联合布地奈德进行雾化吸入,随访6个月,比较两组术后1、3、5 d的儿童特殊疼痛行为反应评分量表(FLACC)评分、康复效果,术前、术后6个月(术后)的通气功能和睡眠质量,以及不良反应发生情况。结果术后1、3、5 d研究组FLACC评分与对照组比较,更低(P<0.05)。研究组康复效果优于对照组(P<0.05),研究组康复总有效率与对照组比较,更高(P<0.05)。术后,两组最低血氧饱和度(LSaO_(2))较术前均升高(P<0.05),两组呼吸暂停低通气指数(AHI)、氧减指数(ODI)较术前均降低(P<0.05),且研究组LSaO_(2)与对照组比较,更高(P<0.05),研究组AHI、ODI与对照组比较,更低(P<0.05)。术后,两组儿童睡眠问卷(PSQI)、爱泼沃斯嗜睡量表(ESS)评分较术前均降低(P<0.05),且研究组与对照组比较,更低(P<0.05)。与对照组的不良反应发生率(18.64%)比较,研究组(3.39%%)更低(P<0.05)。结论利多卡因联合布地奈德雾化应用于小儿鼾症手术患儿,可有效减轻术后疼痛,提高康复效果,改善通气功能,提高睡眠质量,降低不良反应发生率。Objective To explore the effect of lidocaine combined with budesonide atomization on postoperative pain and rehabilitation of children with snoring.Methods A total of 118 children with snoring in Children’s Hospital Affiliated to Zhengzhou University from January to December 2022 were randomly divided into two groups,59 cases in the control group and 59 cases in the study group.The control group was inhaled with normal saline,and the study group was inhaled with lidocaine combined with budesonide.The follow-up was 6 months.The scores of children’s special pain behavior response scale(FLACC)1,3 and 5 days after surgery,and the rehabilitation effect,preoperative ventilation function and sleep quality,as well as adverse reactions,6 months after surgery were compared between the two groups.Results The FLACC scores of the study group were lower than those of the control group on the 3 and 5 days after surgery(P<0.05).The rehabilitation effect of the research group was better than that of the control group(P<0.05),and the total rehabilitation efficiency of the research group was higher than that of the control group(P<0.05).After surgery,lowest oxygen saturation(LSaO_(2))in both groups increased compared to before surgery(P<0.05),while apnea-hypopnea index(AHI),oxygen desatura index(ODI)in both groups decreased compared to before surgery(P<0.05).LSaO_(2) in the study group was higher compared to the control group(P<0.05),while AHI and ODI in the study group were lower compared to the control group(P<0.05).After surgery,the pediatric sleep questionnaire(PSQI)and Epworth sleepiness scale(ESS)scores of both groups decreased compared to before surgery(P<0.05),and the study group was lower compared to the control group(P<0.05).The incidence of adverse reactions was lower in the study group(3.39%)than in the control group(18.64%)(P<0.05).Conclusion The application of lidocaine combined with budesonide atomization in children with snoring surgery can effectively reduce postoperative pain,improve rehabilitation effect,impr

关 键 词：小儿鼾症 利多卡因 布地奈德 雾化 疼痛 康复 

分 类 号：R729[医药卫生—儿科]