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帕瑞昔布在骨科术后疼痛患者中的应用 被引量:3

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摘要 目的观察帕瑞昔布在骨科术后疼痛患者中的应用效果。方法骨科术后疼痛患者60例,随机均分为2组(n=30)。帕瑞昔布组和曲马多组,记录2组患者用药前后VAS评分和不良反应。结果 2组患者用药后VAS评分均显著低于用药前,差异有统计学意义(P<0.05);2组患者用药前VAS评分和用药后VAS评分之间比较,差异无统计学意义。帕瑞昔布组嗜睡发生率显著低于曲马多组,差异有统计学意义(P<0.05),其他不良反应2组发生率相当,差异无统计学意义。结论帕瑞昔布对骨科术后疼痛患者有一定的效果、副作用少。 Objective To observe the effect of parecoxib on the patients underwent postoperation pain.Method Sixty orthopedic patients underwent postoperation pain were divided into two groups: parecoxib group and tramadol group. The patients in the parecoxib group were administered with parecoxib. The patients in the tramadol group were administered with tramadol. The VAS score of before medication and after medication in both groups were recorded. The complication in both groups were recorded.Results The VAS score of after medication were lower than those before medication in both groups(P〈0.05). The VAS score of before medication and after medication were not signiifcantly different between two groups. The incidence of drowsiness in parecoxib group was lower than it in tramadol group(P〈0.05). Other complication were not signiifcantly different between two groups.Conclusion Parecoxib is effective for he orthopedic patients underwent postoperation pain and its complication are few.
作者 陈德焱
出处 《当代医学》 2014年第10期84-85,共2页 Contemporary Medicine
关键词 帕瑞昔布 术后疼痛 骨科 Parecoxib Postoperation pain Orthopedics department
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  • 1韩洁,刘欣梅.老年人疼痛的评估与处理[J].中华护理杂志,2004,39(3):210-212. 被引量:59
  • 2陈东生,王宏梗.氯诺昔康复合小剂量芬太尼用于术后静脉镇痛[J].临床麻醉学杂志,2004,20(8):486-487. 被引量:18
  • 3宁连成,张景云,汪春菊,李新,常秀菊.12例恶性肿瘤晚期疼痛家庭治疗与护理体会[J].实用护理杂志,1995,11(3):13-14. 被引量:25
  • 4徐建国 吕明 等.硬膜外阻滞中寒战原因的初步研究[J].临床麻醉学杂志,1990,6(1):9-9.
  • 5McArdle P. Intravenous analgesia. Crit Care Clin, 1999,15:89-104.
  • 6Bowdle TA. Adverse effects of opioid agonists and agonist-antagonists in anesthesia. Drug Saf, 1998,19:173-189.
  • 7Kehlet H, Dahl JB. The value of "multimodal" or "balanced analgesia"in postoperative pain treatment. Anesth Analg, 1993,77:1048-1056.
  • 8Power I, Barrett S. Analgesic agents for the postoperative period: nonopioids. Surg Clin North Am, 1999,79:275-295.
  • 9Tong D, Chung F. Postoperative pain control in ambulatory surgery. Surg Clin North Am, 1999,79:401-430.
  • 10Lipsky LP, Abramson SB, Crefford L, et al. The classification of cyclooxygenase inhibitors. J Rheumatol, 1998,25:2298-2303.

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  • 1黎峰,马武华,黄燕飞,李荣胜,郑俊奕,沙雪帆,黎玉辉.罗哌卡因复合丁丙诺啡对硬膜外阻滞效应的影响[J].广东医学,2006,27(11):1625-1627. 被引量:1
  • 2HANS G, ROBERT D. Transdermal buprenorphine-a criticalappraisal of its role in pain management[ J]. J Pain Res,2009,2: 117-134.
  • 3DAHAN A, YASSEN A, ROMBERG R, et al. Buprenoiphine in-duces ceiling in respiratory depression but not in analgesia [ J ]. BrJ Anaesth, 2006,96(5) : 627 -632.
  • 4WALSH S L,PRESTON K L, STITZER M L, et al. Clinicalpharmacology of buprenorphine: ceiling effects at high doses[ J].Clin Pharmacol Ther, 1994,55(5): 569 -580.
  • 5PLOSKER G L,LYSENG WILLIAMSON K A. Buprenorphine 5,10 and 20 jxg/h transdermal patch : a guide to its use in chronicnon - malignant pain[ J]. CNS Drugs, 2012 , 26(4) : 367 -373.
  • 6PLOSKER G L. Buprenorphine 5,10 and 20 ^ig/h transdermalpatch: a review of its use in the management of chronic non - ma-lignant paint J]. Drugs, 2011,71(18): 2491 -2509.
  • 7KUSNIK S, LIKAR R,SITTL R. Transdermal buprenorphine inchronic pain: indications and clinical experience[ J]. Expert RevClin Pharmacol, 2008,1(6) : 729 -736.
  • 8VADIVELU N,HINES R L. Buprenorphine: a unique opioid withbroad clinical applications [ J ]. J Opioid Manag,2007,3(1):49 -58.
  • 9JOHNSON R E,FUDALA P J, PAYNE R. Buprenorphine: con-siderations for pain management [ J ]. J Pain Symptom Manage,2005,29(3) : 297 -326.
  • 10KAPIL R P,CIPRIANO A, FRIEDMAN K, et al. Once-weeklytransdermal buprenorphine application results in sustained and con-sistent steady - state plasma levels[ J]. J Pain Symptom Manage,2013,46(1) : 65 -75.

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