氟比洛芬酯超前镇痛在妇科腹腔镜手术中的应用

Preemptive analgesia with flurbiprofen axetil microsphere injection in patients undergoing gynecological laparoscopic surgery

  • 摘要: 目的:研究非甾体类抗炎药物对妇科腹腔镜术后超前镇痛的效果。方法:66例择期行妇科腹腔镜手术的患者,随机分为三组,各22例。麻醉诱导前A组(静注氟比洛芬酯50 mg),B组(氯诺昔康8 mg);C组静注等量生理盐水。每组患者于完全清醒时,清醒后0.5 h、1 h、2 h、8 h、24 h进行VAS评分及不良反应观察。结果:A组完全清醒后8 h内和B组完全清醒后2 h内各时点的VAS评分,均明显低于C组相应时点(P<0.05),且完全清醒后8 h内各观察点VAS,氟比洛芬酯组明显低于氯诺昔康组;与C组比较,A、B两组未见明显不良反应。结论:麻醉诱导前预注氟比洛芬酯或氯诺昔康,均能减轻妇科腹腔镜手术后疼痛,以氟比洛芬酯效果较好。

     

    Abstract: Objective: To study effects of preemptive analgesia with non-steroidal anti-inflammatory drugs(NSAIDs).Methods: 66 adult patients(ASAⅠ-Ⅱ) scheduled to take gynecological laparoscopic surgery were randomly divided into three groups(each group 22).Before induction of anesthesia,flurbiprofen axetil microsphere injection 50 mg was given IV in Group A,lornoxicam 8 mg was adiministered IV in Group B,and in Group C,equivalent dose of 0.9% NaCl was injected as control.The pain score with visual analogue scale(VAS),incidence of adverse events were recorded at the emergence from anesthesia,0.5,1,2,8 and 24 h after emergence.Results: at each observed point during 8 h after emergence,the VAS of patients in group A were significantly lower than in group B or group C(P<0.05).The VAS of patients in group B were markedly less than in group C during 2 h after emergence(P<0.05).Furthermore,no significant difference was found for side effects in three groups.Conclusion: Before induction of anesthesia,the administration of flurbiprofen axetil microsphere injection or lornoxicam IV in patients undergoing gynecological laparoscopic surgery provide adequate preemptive analgesic effect,and flurbiprofen axetil microsphere may be a better choice.

     

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