在接受内镜逆向胆瘤学术的儿童中,氧化用于止痛:一种随机,双盲,并行研究
Wei Ji1,2, Liping Sun1,2, Yue Huang1,2
1Department of Anesthesiology and Pediatric Clinical Pharmacology Laboratory, Shanghai Children's Medical Center, Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Frontiers in pharmacology
|January 23, 2025
概括
与芬太尼相比,氧化在ERCP后的儿童中提供了更好的疼痛缓解和减少炎症. 这表明氧化是治疗手术后疼痛的更有效的选择,在接受这种手术的儿科患者中.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 疼痛管理 疼痛管理
- 胃肠病学 胃肠病学
背景情况:
- 手术后的内脏疼痛是内镜逆行胆血管细胞造影 (ERCP) 后的常见并发症.
- 有效的疼痛管理对于接受ERCP的儿科患者至关重要.
研究的目的:
- 为了在接受ERCP的儿童中比较氧化与芬太尼的止痛和抗炎作用.
- 为了评估术后的疼痛评分和炎症标志物.
主要方法:
- 一项随机双盲研究,涉及82名接受ERCP的儿科患者 (2-18岁).
- 患者接受了氧化 (0.2毫克/千克) 或芬太尼尔 (2微克/千克).
- 在多个时间点评估疼痛,并测量血清炎症细胞因子 (TNF-α,IL-6,IL-10).
主要成果:
- 与芬太尼相比,氧化在ERCP后30分,6小时和24小时显著降低了疼痛评分.
- 氧化组中较少的患者经历了炎症性细胞因子 (IL-6,TNF-α) 的升高.
- 手术后吐的发生率在氧化组较低.
结论:
- 氧化 (0.2 mg/kg) 在儿科ERCP患者中提供有效的止痛和稳定的血液动力学.
- 氧化的止痛作用可能与其抗炎性质有关.
- 氧化在治疗儿童ERCP后疼痛方面表现出比芬太尼更高的疗效.
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