在割礼中治疗疼痛和术后结果
Sophia Perez1, Jami Alamar1, Rachel Siretskiy1
1Florida International University Herbert Wertheim College of Medicine, Miami, FL, USA.
The American surgeon
|August 29, 2025
概括
包括尾部阻塞和NSAID在内的非麻醉性疼痛治疗可以有效控制儿童割礼患者的疼痛. 这种方法减少或消除了对麻醉剂的需求,优化了病人护理.
科学领域:
- 儿童手术
- 治疗疼痛
- 麻醉学
背景情况:
- 药物管理对于优化外科治疗结果至关重要.
- 没有标准的非麻醉止痛方案用于儿童割礼.
- 目前的做法往往涉及麻醉止痛药在儿童割礼.
研究的目的:
- 评估当前儿童割礼的止痛方法.
- 评估区域神经阻塞和NSAIDs在疼痛管理中的作用.
- 确定对麻醉剂使用和患者结果的影响.
主要方法:
- 对354名接受割礼的儿科患者进行了回顾.
- 在手术期间使用止痛药和神经阻断剂的分析.
- 评估患者的结果,包括麻醉剂需求和出血发生率.
主要成果:
- 57. 6% 的患者接受了手术内麻醉剂; 28. 4% 接受了额外剂量.
- 接受尾部阻塞的患者不需要外科麻醉剂.
- 在接受尾部阻塞或NSAIDs组与未接受的组之间,没有观察到出血发生率的显著差异.
结论:
- 区域性神经阻塞 (尾部) 和NSAID可以有效控制儿童割礼的疼痛.
- 这些非麻醉剂策略可以显著减少或消除对外科麻醉剂的需求.
- 实施区域麻醉和NSAID可以优化护理和改善儿童割礼中的阿片类药物管理.
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