CLINICAL OBSERVATION OF CONTINUING FANTANYI IN PAIN
AFTER OSTEOARTHCULAR OPERATION IN CHILDREN
XL PANG, WY YU & L Bo
Children’s Hospital, Chongqing University of
Medical Sciences, Chongqing, China
Objective: Continuous intravenous
fantanyi infusion has been a safe and effective method to relieve pain in
adults after operation. Seldom is used in pediatric population. To observe
the effect of intravenous fantanyi infusion in pain relieving after
osteoarthcular operation in children and the pathologic and physiologic
reactions, and to provide experimental data for pain relieving after
operation.
Method: 60 children, aged 6-12
years old, after osteoarthcular operation, were randomly divided into two
groups. 30 patients were in continuous intravenous Fantanyi infusion (CIF),
and the others were in interval muscle meperidine (IMD).
Results: Significant differences
were exists between two groups as to the effect of analgesic (p<0.01).
The value of WONG-WOKER for painfulness from face expression was from 2-4
down to 0-1 after 15 minutes of fantanyi infusion and didn’t increase again
within 48 hours in CIF. The value got to 2-3 after 48 hours and 5 cases
were 2-3 after 72 hours of IMD. The serum cortisol level in IMD group was
significantly higher than that of CIF group (p<0.01). There exists great
difference in respiratory rate, heart rate, blood oxygen saturation between
the two groups (p<0.01), and no difference in blood pressure.
Conclusion: Continuous intravenous
fantanyi infusion after osteoarthcular operation in children can rapidly
and continuously relieve pain, which had a better effect than muscle
meperidine injection. This method of analgesic should be adopted in
pediatric clinics.