氯诺昔康和曲马多在妇科腹腔镜术后镇痛的效果观察

Clinical efficacy of lornoxicam and tramadol in laparoscopic postoperative analgesia

目的探讨氯诺昔康和曲马多在妇科腹腔镜术后的镇痛效果。方法选择我院2009年10月至2010年4月妇科腹腔镜手术患者80例,采用双盲法随机分为两组,A组为曲马多组;B组为氯诺昔康组;所有患者均采用瑞芬太尼—丙泊酚静吸复合全麻。两组患者均于手术结束前约30min静注曲马多(A组)2mg/kg、氯诺昔康(B组)0.3mg/kg,分别记录患者清醒后10min、lh、5h、10h、24hVAS评分以及各种副作用。结果两组均达到了较满意的镇痛效果,但A组患者术后恶心呕吐的副作用较明显。结论对妇科腹腔镜手术全麻后采用静注曲马多、氯诺昔康在术后可达到较好的镇痛效果。

Objective To investigate the efficacy of lornoxicam and tramadol in the laparoscopic postoperative analgesia.Methods Eighty cases with laparoscopic surgery in gynecologic were selected from October 2009 to April 2010 in our hospital,and randomized into two groups in double-blind method.Group A was for the tramadol group while Group B was for the lornoxicam group All the patients were taken inhalation anesthesia by propofol and remifentanil.The patients were given tramadol（Group A） 3 mg/kg or lornoxicam（Group B） 0.3 mg/kg at 30 min before the surgery.Recorded the VAS scores and side effects at 10 min,1 h,5 h,10 h,24 h after waking.Results The two groups achieved satisfactory analgesia,however,the side effects of nausea and vomiting in Group A were more obvious than that in Group B.Conclusion It can achieve good results by using intravenous anesthesia with tramadol and lornoxicam in postoperative analgesia.