多模式镇痛在儿童斜视术后疼痛治疗中的临床研究  

Clinical study of multimodal analgesia in the treatment of postoperative pain in children with strabismus

作　　者：谢莉菲 周建平[1] 叶炜 刘锦荣 赖飞明[1] XIE Lifei;ZHOU Jianping;YE Wei;LIU Jinrong;LAI Feiming(Department of Ophthalmology,Ganzhou People's Hospital,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市人民医院眼科,江西赣州341000

出　　处：《中国当代医药》2025年第9期86-89,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202311891)。

摘　　要：目的探讨多模式镇痛在儿童斜视患者术后疼痛治疗中的临床效果。方法选取2022年1月至2024年4月赣州市人民医院眼科收治的80例儿童斜视患者作为研究对象,按照随机数字表法分为试验组与对照组,每组40例。试验组采用术前口服布洛芬混悬液超前镇痛,术中局部浸润注射低浓度罗哌卡因,术后口服布洛芬混悬液及镇痛泵联合的多模式镇痛治疗,对照组采用术后镇痛泵常规镇痛治疗,比较两组患者术中眼心反射发生率、术后FLACC疼痛评分、术后镇痛泵按压次数及恶心呕吐不良反应发生情况。结果试验组术后2、6、24、48 h的FLACC疼痛评估量表评分均低于对照组,差异有统计学意义(P<0.05);试验组的术后镇痛泵按压次数少于对照组,差异有统计学意义(P<0.05);试验组的术后恶心呕吐发生率低于对照组,差异有统计学意义(P<0.05)。结论多模式镇痛在儿童斜视患者围手术期能减轻疼痛,减少阿片类镇痛类药物的使用,减少恶心呕吐等并发症,可安全地用于儿童斜视术后镇痛。Objective To investigate the clinical effect of multimodal analgesia in the treatment of postoperative pain in children with strabismus.Methods A total of 80 children with strabismus treated in the Department of Ophthalmology of Ganzhou People's Hospital from January 2022 to April 2024 were selected as the research objects,and they were divided into experimental group and control group according to random number table method,with 40 cases in each group.The experimental group received pre-emptive analgesia with oral Ibuprofen Suspension before surgery,local infiltration injection of low concentration Ropivacaine during the operation,and postoperative multi-mode analgesia treatment with oral Ibupro-fen Suspension combined with analgesia pump,while the control group received conventional analgesia treatment with postoperative analgesia pump.The incidence of intraoperative oculocardiac reflex,postoperative FLACC pain score,postoperative analgesic pump compression times and adverse reactions of nausea and vomiting were compared between the two groups.Results The scores of FLACC pain assessment scale in the experimental group at 2,6,24 and 48 h after opera-tion were lower than those in the control group,the differences were statistically significant(P<0.05).The postoperative analgesic pump compression times in the experimental group was less than that in the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative nausea and vomiting in the experimental group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Multimodal analgesia can relieve pain,reduce the use of opioid analgesics,and reduce complications such as nausea and vomiting in perioperative period of children with strabismus,and can be safely used for postoperative analgesia in children with strabismus.

关 键 词：斜视 镇痛 罗哌卡因 疼痛 

分 类 号：R726.1[医药卫生—儿科]