目标:在儿童中,包皮环切术是一项与围手术期疼痛相关的手术,父母满意度是评估麻醉程序的重要参数.阴茎腹轴的阴茎背侧神经阻滞(DPNB)不足可能会对父母的满意度产生负面影响。为了评估这个假设,我们比较了阴茎环阻滞(RB)和阴茎背神经阻滞(DPNB)对父母满意度的影响。术后疼痛,需要额外的镇痛,术中血流动力学数据,恢复状态,副作用,和术后并发症被评估为两组之间的次要结局.
方法:比较RB和DPNB对儿童包皮环切术的父母满意度和麻醉效果。86例患者以1:1随机分为RB组和DPNB组,给予相同剂量的麻醉。使用小儿麻醉家长满意度问卷(PAPS)评估家长满意度。术后疼痛评估用面部进行,腿,活动,哭泣,舒适度疼痛量表(FLACC)。
结果:就父母满意度而言,两组在麻醉前没有发现差异,麻醉前和麻醉后,麻醉后,医院团队,和麻醉组参数(p>0.05)。DPNB组患者仅在“麻醉小组”参数中的“Q11”子参数中得分较高,这种差异是显著的(0.024)。
结论:在包皮环切术中比较了RB和DPNB,这是儿童最常见的外科手术。家长满意度,麻醉,发现两种阻滞的镇痛效果相似。
结果:ACTRN12622001211752。
OBJECTIVE: In children, circumcision is a procedure associated with perioperative pain and parental satisfaction is an important parameter in the evaluation of anesthesia procedures. Inadequate dorsal penile nerve block (DPNB) for the ventral shaft of the penis might impact parental satisfaction negatively. To evaluate this hypothesis, we compared the effects of penile ring block (RB) and dorsal penile nerve block (DPNB) on parental satisfaction. Postoperative pain, need for additional analgesia, intraoperative hemodynamic data, recovery status, side effects, and postoperative complications were evaluated as secondary outcomes between the blocks.
METHODS: Parental satisfaction and anesthetic effectiveness of RB and DPNB for circumcision in children were compared. 86 patients were randomized 1:1 to Group RB and Group DPNB, which were administered the same dose of anesthesia. Parental satisfaction was evaluated with the Pediatric Anesthesia Parental Satisfaction Questionnaire (PAPS). Postoperative pain evaluations were made with the Face, Legs, Activity, Crying, Consolability Pain Scale (FLACC).
RESULTS: In terms of parent satisfaction, no differences were detected between the groups in the pre-anesthesia, pre-anesthesia and post-anesthesia, post-anesthesia, hospital team, and anesthesia team parameters (p > 0.05). The scores of Group DPNB patients were higher only in the \"Q11\" subparameter in the \"anesthesia team\" parameter, and this difference was significant (0.024).
CONCLUSIONS: RB and DPNB were compared in circumcision, which is the most common surgical procedure for children. Parental satisfaction, anesthesia, and analgesic effects of both blocks were found to be similar.
RESULTS: ACTRN12622001211752.