布比卡因局部喷雾在扁桃体切除患儿术后镇痛中的应用效果

The application effect of bupivacaine local spray for postoperative analgesia of ill children with tonsillectomy

目的探讨布比卡因局部喷雾在扁桃体切除患儿术后镇痛中的应用效果。方法选取2013年1～12月在本院接受扁桃体切除术的96例患儿,随机分为观察组（布比卡因局部喷雾组）与对照组（曲马多静脉麻醉组）。比较两组术后5、10、20、40、80、160、320 min 7个不同时间点的CHEOPS评分、Wong-Baker表情评分。结果观察组术后5、10、20、40、80、160、320 min 7个时间点的CHEOPS评分、Wong-Baker表情评分明显低于对照组（P〈0.05）。结论布比卡因局部喷雾用于扁桃体切除患儿术后的镇痛效果好于曲马多静脉麻醉。

Objective To investigate the application effect of bupivacaine local spray for postoperative analgesia of ill children with tonsillectomy. Methods 96 patients with tonsillectomy in our hospital from January to December 2013were randomly divided into the observation group（the bupivacaine local spray group） and the control group（the tramadol intravenous anesthesia group）.The score of CHEOPS and Wong-Baker expression after 5,10,20,40,80,160,320miniutes operation in the two groups were compared. Results The score of CHEOPS and Wong-Baker expression after5,10,20,40,80,160,320 miniutes operation in the observation group were obviously lower than those in the control group（P〈0.05）. Conclusion Analgesic effect of bupivacaine local spray for postoperative analgesia of ill children with tonsillectomy is better than tramadol intravenous anesthesia.