CAJ | 학술논문

目的评价氯诺昔廉用于妇科腹腔镜手术后镇痛的安全性、有效性以及不良反应. 方法 46例妇科择期行子宫(次)全切术以及附件手术患者随机分成氯诺昔康组(A组,n=23)和曲马朵组(B组,n=23)进行比较观察.所有患者均采用瑞芬太尼-丙泊酚全凭静脉麻醉,两组患者分别记录术后2,4、8、12、24 h的VAS评分,患者镇痛满意度评分以及各种不良反应. 结果 A组术后2、4、8 h时间VA S评分分别为(3.12±0.90)、(2.84±1.72)、(3.01±1.69),明显低于B组对应时间点VAS评分(P<0.05);镇痛满意度两组比较差异统计学意义(P>0.05),B组PCIA期间恶心、呕吐发生率为30.4%、26.1%,明显高于A组(P<0.05). 结论氯诺昔康静脉自控镇痛(PCA)用于妇科手术后镇痛效果确切、不良反应发生率低,值得临床推广应用.
목적 평개록낙석렴용우부과복강경수술후진통적안전성、유효성이급불량반응. 방법 46례부과택기행자궁(차)전절술이급부건수술환자수궤분성록낙석강조(A조,n=23)화곡마타조(B조,n=23)진행비교관찰.소유환자균채용서분태니-병박분전빙정맥마취,량조환자분별기록술후2,4、8、12、24 h적VAS평분,환자진통만의도평분이급각충불량반응. 결과 A조술후2、4、8 h시간VA S평분분별위(3.12±0.90)、(2.84±1.72)、(3.01±1.69),명현저우B조대응시간점VAS평분(P<0.05);진통만의도량조비교차이통계학의의(P>0.05),B조PCIA기간악심、구토발생솔위30.4%、26.1%,명현고우A조(P<0.05). 결론 록낙석강정맥자공진통(PCA)용우부과수술후진통효과학절、불량반응발생솔저,치득림상추엄응용.
Objective To evaluate the analgesic efficiency and adverse effects of post operative patient-con-trolled intravenous analgesia(PCIA)with lornoxicam and tramadol in patients underwent gynaecologlcal operation.Methods 46 ASA(American Society of Anesthesiologists)Ⅰ-Ⅱ patients who undertook gynaecological operation were divided into two groups:lornoxicam group(group A,n=23)and tramadol group(group B,n=23).Each patient used remifentanil-propofol total intravenous anesthesia and received post-operation analgesia.We assessed the effectiveness by visual analogue scale(VAS)and analgesia satisfication degree at different time points:2,4,8,12 and 24 h after the beginning of analgesia were assessed.The analgesic efficacy of analgesia and the adverse effects during analgesia period were observed.Result The VAS scores of group A in 2,4,8 h were(3.12±0.90),(2.84±1.72)and(3.01±1.69),which were lower than those of group B(P<0.05).The incidences of nausea and vomiting in group A(30.4%and 26.1%)were significantly lower than those in group B(P<0.05)Conclusion Lornoxicam could provide an precise analgesic effect and lower adverse effect and worthy to be popularized.