本文選題：兒童　切入點(diǎn)：扁桃體切除術(shù)　出處：《臨床耳鼻咽喉頭頸外科雜志》2017年14期

【摘要】：目的:觀察兒童扁桃體切除術(shù)后種鎮(zhèn)痛方式應(yīng)激疼痛反應(yīng)的變化。方法:124例兒童扁桃體切除術(shù)后的兒童,隨機(jī)分為A、B兩組,分別為60例和64例。手術(shù)后A組為使用靜脈自控鎮(zhèn)痛藥物持續(xù)靜脈輸注,B組根據(jù)患兒年齡及體重選擇小劑量(5mg/kg/次)布洛芬混懸液口服。手術(shù)前后24h采用FLACC進(jìn)行鎮(zhèn)痛評(píng)分。術(shù)前及術(shù)后24h均檢測(cè)血白細(xì)胞(WBC)、血清C反應(yīng)蛋白(CRP)和皮質(zhì)醇(COR)濃度;檢測(cè)WBC、CRP和COR濃度行相關(guān)性。結(jié)果:反應(yīng)疼痛應(yīng)激4個(gè)指標(biāo)中,FLACC和COR判斷疼痛效能最好,CRP和WBC較差。術(shù)后4、24、36h3個(gè)時(shí)間段,對(duì)患兒進(jìn)行FLACC評(píng)分,B與A組同時(shí)段相比差異有統(tǒng)計(jì)學(xué)意義(P0.05),各組組間比較差異沒(méi)有統(tǒng)計(jì)學(xué)意義;患兒手術(shù)前后A、B組對(duì)外周血WBC數(shù)目,CRP和COR的濃度變化:A組CRP和COR的濃度手術(shù)前后比較差異有統(tǒng)計(jì)學(xué)意義(P0.05);COR的濃度24hA組與B組比較差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:兒童扁桃體切除術(shù)后應(yīng)激疼痛可以用FLACC評(píng)分和測(cè)血清COR濃度綜合判定,布洛芬混懸液口服可以減小患兒應(yīng)激疼痛反應(yīng),安全滿(mǎn)足術(shù)后用鎮(zhèn)痛需要。
[Abstract]:Objective: to observe the changes of stress pain response after tonsillectomy in children. Methods: 124 children with tonsillectomy were randomly divided into two groups. There were 60 cases and 64 cases of ibuprofen suspension in group A after operation. Group B received continuous intravenous infusion of intravenous controlled analgesic drugs according to the age and weight of the children. Ibuprofen suspension was taken orally at a low dose of 5 mg / kg / time before and 24 hours before and after operation. FLACC was used to treat the patients 24 hours before and after operation. Pain score. WBC, serum C-reactive protein (CRP) and cortisol Corr were measured before and 24 hours after operation. Results: FLACC and COR were the best indexes in judging pain. There was significant difference in FLACC score between group A and group B in the same period (P 0.05), but there was no significant difference between each group. Changes of WBC and COR in peripheral blood of children before and after operation there is a significant difference in the concentration of CRP and COR between group A and group A before and after operation. There is a significant difference between group 24hA and group B in the concentration of CRP and COR. Conclusion: there is a significant difference in the concentration of CRP and COR between group B and group B.Conclusion: there is a significant difference between group A and group B in the concentration of CRP and COR. Stress pain after tonsillectomy can be determined by FLACC score and serum COR concentration. Ibuprofen suspension can reduce the stress pain response and meet the postoperative analgesic needs.
【作者單位】： 華中科技大學(xué)同濟(jì)醫(yī)學(xué)院附屬武漢兒童醫(yī)院(武漢市婦幼保健院)耳鼻咽喉科;
【分類(lèi)號(hào)】：R766.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前3條

1 張欣;萬(wàn)蘭蘭;王君影;徐_g;李佩忠;;扁桃體術(shù)后疼痛相關(guān)因素分析[J];臨床耳鼻咽喉頭頸外科雜志;2015年02期

2 陳冬麗;;淺析護(hù)理干預(yù)對(duì)外科術(shù)后疼痛程度的影響[J];中國(guó)實(shí)用醫(yī)藥;2013年12期

3 何國(guó)平;何娟娟;皮慶梅;霍芝美;宋治敏;;耳鼻喉科術(shù)后并發(fā)疼痛的針對(duì)性護(hù)理效果研究[J];齊齊哈爾醫(yī)學(xué)院學(xué)報(bào);2013年07期

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 陳韻;;都市類(lèi)報(bào)紙?jiān)┌笀?bào)道中的內(nèi)容缺位——以三起冤案事件為例[J];視聽(tīng);2017年07期

2 陳光中;鄭曦;謝麗珍;;完善證人出庭制度的若干問(wèn)題探析——基于實(shí)證試點(diǎn)和調(diào)研的研究[J];政法論壇;2017年04期

3 段冉;;論審判中心主義下刑事錯(cuò)案的多元防范機(jī)制[J];智富時(shí)代;2017年06期

4 陳光中;李章仙;;論庭審模式與查明案件事實(shí)真相[J];法學(xué)雜志;2017年06期

5 李章仙;;刑事審辯關(guān)系:模式的異化與回歸[J];學(xué)術(shù)交流;2017年04期

6 王\，

本文編號(hào)：1667433