自控镇痛促进小儿尿道下裂术后康复的临床研究

Improve children rehabilitation with controlled analgesia after hypospadias operation

目的探讨使用自控镇痛方法促进小儿尿道下裂术后康复。方法将80例尿道下裂患儿分为试验组和对照组，试验组在术后采用以注射泵控制镇痛的方法，对照组以常规的镇痛药物治疗，比较两组患儿术后疼痛感受变化、生理功能康复和术后并发症发生率。结果与对照组相比，试验组的患儿疼痛感受减低，波动范围较小，术后的生理机能和伤口恢复较快，术后尿瘘和尿道狭窄并发症明显减少（27．5％郴7．5％，17．5％vs5％，P〈0．05），患儿嗜睡、恶心和低血压等不良反应的发生率较低。结论患儿可控镇痛的方法能明显减少术后并发症和促进康复，减少不良反应的发生，可能与稳定而良好的疼痛控制有关。

Objective To observe controlled analgesia to improve children rehabilitation after hypospadias operation. Methods 80 children received hypospadias operation was divided into two groups after operation. Controlled analgesia pump was applied in experiment group,routine analgesia drug was applied in contrast group. The pain feeling evaluation, complication and physiological function were compared between two groups. Results Comparing with contrast group, the pain feeling evaluation and fluctuation, complication of urethrocutaneous fistula and urethral stricture （27. 5 % vs 7. 5 %, 17. 5 % vs5 %, P 〈 0. 05 ）, adverse analgesia reaction including incidence of hypersomnia, nausea and hypotension, was less in experimental group, and the recover process was better in experimental group. Conclusion Controlled analgesia is better to improve children rehabilitation after hypospadias operation than routine analgesia drug, and this may attribute to better and stable pain control.