摘要
目的观察一次性包皮环切器行小儿包皮环切术围手术期使用双氯芬酸钠栓剂临床效果。方法接受一次性包皮环切器行小儿包皮环切术64例,随机分为干预组和对照组。对照组用利多卡因针剂行阴茎局部麻醉32例,干预组在利多卡因局部麻醉基础上,围手术期使用双氯芬酸钠栓剂。评估两组手术时、术后1h、术后4h、术后当晚、术后第1天、术后第2天和术区换药时间(术后第3天)共7个时间段的疼痛程度;观察并评估患儿术后3d夜间睡眠质量。结果干预组在上述时间段疼痛程度轻于对照组(P<0.05);干扰组和对照组的睡眠质量存在明显差异(P<0.05)。结论围手术期肛塞双氯芬酸钠栓剂镇痛在小儿包皮切割缝合术中及术后镇痛效果明确,患儿术后睡眠质量较好,给药方式患儿接受好,患儿家长满意度高,未有不良反应发生,值得临床推广。
Objective To observe the clinical efficacy of diclofenac sodium suppositories in perioperative period of pediatric circumcision with disposable circumcision device (DCSD).Methods Sixty-four children who received circumcision using DCSD were randomly divided into the intervention group and the control group.The patients in the control group (n=32)received local penile block with lidocaine injection,whereas the patients in the intervention group (n =32)received diclofenac sodium suppositories perioperatively based on local penile block with lidocaine.Pain intensity was evaluated for the patients in both groups at seven time points of dressing changes of surgical sites:intraoperatively,at 1and 4h postoperatively,on the night postoperatively,at 1and 3days postoperatively;Nocturnal sleep quality of children were observed 3days postoperatively.Results At above time points,the pain intensity was milder in the intervention group than that in the control group (P<0.05);There was significant difference in sleep quality between two groups (P<0.05). Conclusion Perioperative rectal administration diclofenac sodium suppositories for analgesia has definite analgesic effects during and after circumcision.It deserves clinical application due to excellent postoperative sleep quality,well accepted administration,highly satisfactory,and no adverse reactions.
作者
黄郁兰
邓子香
廖莹
刘敏
Huang Yulan;Deng Zixiang;Liao Ying;Liu Min(First Affiliated Hospital of Gannan Medical University,Ganzhou 341000,Jiangxi,China)
出处
《中国男科学杂志》
CAS
CSCD
2018年第4期56-59,共4页
Chinese Journal of Andrology
关键词
儿童
包皮环切术
男性
双氯芬酸钠栓剂
疼痛
children
circumcision,male
diclofenac sodium suppositories
pain
