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首页> 外文期刊>Iranian red crescent medical journal >At What Age Range Should Children Be Circumcised?
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At What Age Range Should Children Be Circumcised?

机译：应该在什么年龄范围内对孩子行割礼？

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Although male circumcision is a surgical intervention that is frequently performed in children, there is no consensus about the age at which it should be performed. Objectives: The purpose of this study was to determine the best age range for routine male circumcision with respect to a child’s health and the cost. Patients and Methods: This clinical trial was conducted in the affiliated hospital of the Erzincan University of Medical Sciences, Turkey, in 2014. The circumcised children were evaluated in 3 groups: < 1 year old (Group 1), 1-7 years old (Group 2), and > 7 years old (Group 3). To obtain a satisfactory Wilton sedation score, midazolam 0.1 mg/kg IV was administered first. If adequate sedation was not achieved, ketamine 2 mg/kg IV was also administered. If adequate sedation was still not achieved, general anesthesia was administered via a laryngeal mask. At the end of the surgery, the groups were compared in terms of post-anesthesia recovery duration, complications, discharging duration, and cost. Results: A total of 603 children were circumcised, 374 in Group 1, 94 in Group 2, and 135 in Group 3. Midazolam was sufficient for sedation in 364 Group 1 patients (97.3%), 6 Group 2 patients (6.3%), and 38 Group 3 patients (28.1%). The shortest post-anesthesia recovery duration after surgical intervention and time until discharge, the lowest cost, and the fewest anesthesia complications were observed in Group 1 (P < 0.05 for all). Conclusions: Although almost all of the < 1 year-old children could be sedated with midazolam alone, most of the > 1 year-old children required ketamine or general anesthesia. Performing circumcision when children are less than 1 year old decreases the risk of complications due to anesthesia and lowers the costs compared with performing the procedure on older children.
机译：尽管男性包皮环切术是在儿童中经常进行的外科手术，但对于应该进行何种年龄的手术尚无共识。目的：本研究的目的是就儿童的健康状况和费用而言，确定常规男性包皮环切术的最佳年龄范围。患者和方法：该临床试验于2014年在土耳其埃尔津坎医科大学附属医院进行。对行割礼的儿童进行了3组评估：<1岁（第1组），1-7岁（第1组）。第2组）和> 7岁（第3组）。为了获得令人满意的威尔顿镇静评分，应首先静脉注射咪达唑仑0.1 mg / kg。如果未达到足够的镇静作用，则还应静脉注射氯胺酮2 mg / kg。如果仍然不能获得足够的镇静作用，则通过喉罩进行全身麻醉。手术结束时，根据麻醉后恢复时间，并发症，出院时间和费用对各组进行比较。结果：总共有603例儿童被割礼，第1组374例，第2组135例，第3组135例。咪达唑仑足以镇静364例第1组患者（97.3％），6例第2组患者（6.3％）， 3组38例（28.1％）。在第1组中，观察到了手术干预后的麻醉后恢复时间最短，直至出院的时间，成本最低，麻醉并发症最少（所有P均<0.05）。结论：尽管几乎所有<1岁的儿童都可以单独使用咪达唑仑镇静，但是大多数> 1岁的儿童都需要氯胺酮或全身麻醉。与年龄较大的儿童相比，在1岁以下的儿童中进行包皮环切术可降低因麻醉导致并发症的风险，并降低成本。

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