Effect of postoperative analgesia in children with pelvic triple osteotomy and nursing
10.3760/cma.j.issn.1674-2907.2013.17.013
- VernacularTitle:小儿骨盆三联截骨术术后镇痛的效果观察与护理
- Author:
Jing LI
1
;
San-Lian HU
;
Yan-Ling XU
Author Information
1. 200233,上海交通大学附属第六人民医院麻醉科
- Keywords:
Analgesic;
Nursing;
Children;
Pelvic triple osteotomy
- From:
Chinese Journal of Modern Nursing
2013;19(17):2021-2023
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect and safety of intravenous morphine and epidural combination of morphine and bupivacaine in children after pelvic triple osteotomy and discuss postoperative nursing methods.Methods 48 children who had received pelvic triple osteotomy from January 2011 to March 2012 in Shanghai 6th Hospital were chosen and randomly divided into the intravenous morphine group (Group A),epidural combination of morphine and bupivacaine group (Group B) and the control group (Group C).OPS was used to record analgesic effect 2,4,8,12,24 and 48 hours after operation as well as the incidence rate of adverse events.Results There were no statistically significant differences in analgesic effect 4,8,12,24 and 48 hours after operation between Group A and Group B (x2 =1.000,0.356,0.356,1.000,1.000,respectively;P ＞0.05).And the effect in both groups were obviously better in that in Group C (P ＜0.05).The incidence rate of adverse events was 81.2％ in Group A,12.5％ in Group B,50.5％ in Group C,and the differences were statistically significant (z =14.877,P ＜ 0.01).The rate in Group A was higher than that in both Group B and Group C,and the differences were statistically significant (x2 =14.710,5.073,respectively;P ＜ 0.05).Conclusions Epidural combination of morphine and bupivacaine has better analgesic effect on children after pelvic triple osteotomy and lower incidence rate of adverse events.Nurses should provide safe and effective analgesic nursing to promote their recovery and improve the satisfaction rate of children and their parents.
