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目的探讨异丙嗪联合鲁米那用于婴幼儿术后镇痛的临床效果。方法 100例0~3岁腹股沟斜疝择期修补术患儿,随机分为对照组与实验组,每组50例,对照组术后镇痛采用静脉用氯丙嗪异丙嗪合剂,实验组采用肌内注射异丙嗪加静脉用鲁米那,比较两组用药的镇痛效果。结果 (1)实验组镇痛起效时间优于对照组;(2)实验组术后镇痛效果优于对照组,不良反应和不良反应低于对照组。结论患儿术毕30 min内给予异丙嗪及鲁米那联合镇痛,起效较快,镇痛效果确切,不良反应小,值得在小儿术后镇痛中推广使用。
Objective To investigate the clinical effect of promethazine combined with luminal sodium for postoperative analgesia in infants and young children. Methods 100 cases of 0 to 3 years old patients with inguinal hernia repair were randomly divided into control group and experimental group, 50 cases in each group. The control group received intravenous chlorpromazine and promethazine for postoperative analgesia. In the experimental group, Intramuscular injection of promethazine plus intravenous injection of luminal, the analgesic effect of the two groups were compared. Results (1) The onset time of analgesia in the experimental group was better than that of the control group. (2) The postoperative analgesic effect of the experimental group was better than that of the control group, and the adverse reactions and adverse reactions were lower than the control group. Conclusion Promethazine and luminal analgesia are given within 30 min after operation, with rapid onset of action, definite analgesic effect and small adverse reactions. It is worth promoting in postoperative analgesia in children.