帕瑞昔布钠与氟比洛芬酯在多节段腰椎融合术后的镇痛效果比较

Analgesic effect of flurbiprofen and parecoxib for patients undergoing multi-lumbar spinal fusion surgery

  • 摘要: 目的 比较两种非甾体类抗炎药物(nonsteroidal anti-inflammatory drugs,NSAIDs)氟比洛芬酯与帕瑞昔布钠在多节段腰椎融合术后的镇痛效果。 方法 选取2013年6月- 2014年2月本院脊柱外科58例多节段腰椎融合术病例,随机分为3组,术后1 h、4 h、10 h、20 h分别给予氟比洛芬酯、帕瑞昔布钠及0.9%氯化钠注射液,术后3 h、6 h、12 h、24 h使用视觉模拟评分(visual analogue scale,VAS)评估疼痛,并记录患者并发症发生情况。 结果 氟比洛芬酯组术后3 h、6 h、12 h、24 h的VAS评分为1.95、2.60、2.00、1.65;帕瑞昔布钠组术后3 h、6 h、12 h、24 h的VAS评分为2.85、2.55、1.85、1.60;0.9%氯化钠注射液组术后3 h、6 h、12 h、24 h的VAS评分为3.00、3.83、2.70、2.44。3组术后3 h的VAS评分间差异有统计学意义;其他时间氟比洛芬酯与帕瑞昔布钠镇痛效果差异无统计学意义,但均优于0.9%氯化钠注射液组。3组并发症的发生情况无统计学差异。 结论 氟比洛芬酯与帕瑞昔布钠均应用于多节段腰椎融合术后的镇痛,氟比洛芬酯镇痛起效比帕瑞昔布钠更快。

     

    Abstract: Objective To compare the analgesia effect of two category of non-steroidal anti-inflammatory drugs (NSAIDs), parecoxib and fl urbiprofen, in patients undergoing multi-lumbar fusion surgery. Methods Fifty-eight multi-lumbar fusion cases were selected from June 2013 to February 2014 and divided into three groups randomly, they were given flurbiprofen, parecoxib and 0.9% sodium chloride injection at postoperative 1 h, 4 h, 10 h and 20 h, respectively. The visual analogue scale (VAS) was recorded at postoperative 3 h, 6 h, 12 h and 24 h. The adverse effects were also recorded. Results The fl urbiprofen's VAS score at 3 h, 6 h, 12 h and 24 h was 1.95, 2.60, 2.00 and 1.65, respectively. And the parecoxib was 2.85, 2.55, 1.85 and 1.60, respectively. While, the 0.9% sodium chloride injection was 3.00, 3.83, 2.70 and 2.44, respectively. And there was no statistically significant difference in adverse effects among the three groups. Conclusion Flurbiprofen seems to be as a good option as parecoxib for the patients undergoing multi-lumbar spinal fusion surgery, while fl urbiprofen shows advantages in releasing pain more quickly.

     

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