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ID:33378135
大小:3.20 MB
页数:41页
时间:2019-02-25
《尿道下裂术后pcea和pcia镇痛的临床研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、Abstract:AclinicalstudyofPCEAandPCIAOilpostoperativechildrenwithhypospadiasObjective:ToinvestigatethediffenceoftheeffectsbetweenPCEAandPCIAonpostoperativechildrenwithhypospadias,andprovidethebasisforthechoiceofpostoperativeanalgesiainurethroplasty.Methods:100pediatricpatientsf
2、orscheduledhypospadiassu唱erywererandomlydividedintotwogroupsincludingPCEAgroup(n=50)andPCIAgroup(n250).ThedrugsforPCEAgroupwere0.1~O.2%ropivacaineandfentanyl,whichdoseswereO.15to0.2mg/kg·handO.1to0.2ug/kg·hinvidually.ThedrugforPCIAgroupwasFentanylanditsdosagewas0.42ug/kg·h.The
3、ObjectivePainScore(OPS),FLACCpainscore,Ramsaysedationscore,lifesymptomtargets,timesofusingPCA,adversereactions,theincidenceofbladderspasm,earlypostoperativecomplicationsandtheoveralldegreeofsatisfactionfortheanalgesiaat1,2,4,8,12,24,48,72postoperativehourweredetectedandcompare
4、d.Result:①Inthecourseofthepostoperativeanalgesia,fourpatientsinthePCEAgroupwerechangedintoPCIAbecauseoftheprolapsedorplugedepiduralcatheter,whileintravenousexudationwerefoundintwopatientsandPCIAwasstopedinonepatientduetopruritusat48postoperativehourinthePCIAgroup.②Diffencesoft
5、hepostoperativelifesymptomtargetsbetweenthetwogroupshadnotbeenfound.③PatientsinthePCEAgrouphadbetterpostoperativeanalgesiathanthePCIAgroup(P6、.⑤Adversereactionscouldbefoundinbothgroups,buttheincidenceoftheadversereactionsinthegroupwereobviouslylowerthanthePCIAgroup(p如。05)。⑥Bladderspasmsh甜occurredin10patients(10/46)ofthegroupandin25(25/54)patientsofthePCIAgroup.Theincidencewassignificantlydifferentbetweenthetwogroups7、(P8、inthePCIAgroup。Thereweresignificantdifferencesbetweenthetwogr
6、.⑤Adversereactionscouldbefoundinbothgroups,buttheincidenceoftheadversereactionsinthegroupwereobviouslylowerthanthePCIAgroup(p如。05)。⑥Bladderspasmsh甜occurredin10patients(10/46)ofthegroupandin25(25/54)patientsofthePCIAgroup.Theincidencewassignificantlydifferentbetweenthetwogroups
7、(P8、inthePCIAgroup。Thereweresignificantdifferencesbetweenthetwogr
8、inthePCIAgroup。Thereweresignificantdifferencesbetweenthetwogr
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