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[髂腹下神经阻滞在小儿阑尾切除术中的价值]

[Value of ilio-hypogastric block in appendectomy in children].

作者信息

Courrèges P, Peron M, Poddevin F, Lecoutre D, Bayart R

机构信息

Clinique Chirurgicale Pédiatrique, Hôpital Saint-Antoine, Faculté libre de Médecine de Lille.

出版信息

Cah Anesthesiol. 1996;44(4):293-6.

PMID:9033825
Abstract

This prospective study aimed to evaluate the efficiency of ilio-hypogastric nerve block for control of post appendicectomy pain in children. Forty-two children aged 3-15 years scheduled for appendicectomy were anaesthetized in the same way. After randomization, a preoperative ilio-hypogastric nerve block was performed in 21 patients. Twenty one were not blocked. The postoperative pain assessment showed a better analgesia in the blocked children group. Analgics were required less in group. Five inefficient blocks were recorded. No complications were noted. Ilio-hypogastric block was found to be safe and efficient for control of post-appendicectomy pain in most children.

摘要

这项前瞻性研究旨在评估髂腹下神经阻滞控制儿童阑尾切除术后疼痛的效果。42例年龄在3至15岁计划行阑尾切除术的儿童采用相同方式进行麻醉。随机分组后,21例患者在术前接受了髂腹下神经阻滞,21例未行阻滞。术后疼痛评估显示,接受阻滞的儿童组镇痛效果更好,该组所需镇痛药更少。记录到5例无效阻滞,未观察到并发症。结果发现,髂腹下神经阻滞对大多数儿童控制阑尾切除术后疼痛安全有效。

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