[1]徐金山,王旸烁,陈峰,等.儿童脑瘫选择性脊神经后根切断术后疼痛管理[J].中国临床神经外科杂志,2022,27(05):393-395.[doi:10.13798/j.issn.1009-153X.2025.05.019]
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儿童脑瘫选择性脊神经后根切断术后疼痛管理()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
27
期数:
2022年05期
页码:
393-395
栏目:
经验介绍
出版日期:
2022-05-31

文章信息/Info

文章编号:
1009-153X(2021)05-0393-03
作者:
徐金山王旸烁陈峰刘婷红陈帅梁树立
100054北京,首都医科大学附属北京儿童医院功能神经外科(徐金山、王旸烁、陈峰、刘婷红、陈帅、梁树立)
关键词:
痉挛型脑瘫选择性脊神经后根切断术术后镇痛疗效
分类号:
R742.3;R651.1+1
DOI:
10.13798/j.issn.1009-153X.2025.05.019
文献标志码:
B
摘要:
目的 探讨儿童痉挛型脑瘫(SCP)选择性脊神经后根切断术(SPR)后疼痛管理措施。方法 回顾性分析52例双侧型单纯SCP患儿的临床资料,均接受SPR并椎板复位术;术中进行镇痛预处理(应用罗哌卡因和地塞米松混合液进行切口局部注射),术后采取舒芬太尼静脉持续输注和布洛芬定时口服的全身镇痛手段。应用Wong-Baker量表评分评估疼痛程度。结果 2例术后2~3 h内情绪失控和明显躁动,亲属不能安抚,予水合氯醛或咪达唑仑镇静,症状缓解;其余患儿均能保持相对安静。术后未发生术区感染、术区血肿或伤口裂开等并发症。与术后8 h相比,术后24、48 h疼痛评分均明显降低(P<0.05),而不同性别之间无统计学差异(P>0.05)。结论 舒芬太尼静脉持续泵入和布洛芬定时口服的全身镇痛手段、结合术中镇痛预处理,对SPR术后镇痛效果可靠,使患儿术后很早期就能耐受康复治疗,提高了手术与康复综合治疗的时效。

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备注/Memo

备注/Memo:
通讯作者:梁树立,E-mail:golddr@126.com
更新日期/Last Update: 2022-06-30