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題 名 | Effect of Preoperative Transdermal Ketoprofen on Post-hysterectomy Pain=術前使用Ketoprofen經皮貼劑對術後止痛效果之評估 |
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作 者 | 劉康; 賈元一; 羅瑗; 簡婉儀; 王志中; 何善臺; | 書刊名 | 中華醫學雜誌 |
卷 期 | 60:6 1997.12[民86.12] |
頁 次 | 頁290-295 |
分類號 | 418.224 |
關鍵詞 | 止痛; 非類固醇類消炎止痛劑; 病患自控式止痛; Analgesia; Ketoprofen; Non-steroidal anti-inflammatory drugs; Patient-controlled analgesia; |
語 文 | 英文(English) |
中文摘要 | 背景:前趨止痛(pre-emptive analgesia)是一近年來受到廣泛重視和討論的主題。這種在手術前或受傷前給予適量之止痛,可避免術後中樞神經或周邊神經過度興奮,以及中樞神經不正常傳導路徑的形成,進而減少手術後嗎啡類止痛劑用量及嗎啡類止痛劑之副作用。本實驗之目的在於評估非類固醇類消炎止痛貼劑於手術患部之前趨止痛效果,並對此止痛機轉做一探討。 方法:本研究選取60名婦科接受全子宮切除術之病害,隨機分成三組,第一組病患在手術前一天於預期下刀部位給予ketoprofen 30mg的經皮貼劑。第二組病患在手術前一天於預期下刀部位給予安慰貼劑。第三組病患在手術前一天於非預期下刀部位(右大腿部位)給予ketoprofen 30mg經皮貼劑。所有病人至少接受連續兩劑(每天兩劑)的經皮貼劑,全身麻醉是以pentothal 5mg/kg及fentanyl 2μg/kg來誘導,之後以halothane及N□O維持麻醉深度,同時以pancuronium 0.01 mg/kg來維持肌肉鬆弛。術後採用病患自控式止痛,並記錄其嗎啡用量及病患目測疼痛評估指數(visual analogue pain score:0-10)。 結果:本研究中,三組病患在基本資料、病患目測疼痛評估指數及病患自控式止痛之嗎啡用量上並無明顯之不同。但是,第一次嗎啡需求時間在第一組較其他兩組有明顯之延遲,(p<0.05)。至於噁心、嘔吐等副作用發生的機率,三組病患無明顯之不同。 結論:對於全子宮切除病患之術後疼痛,手術前於預期下刀部位給予ketoprofen的經皮貼劑30mg會造成第一次嗎啡需求時間明顯延遲,但對疼痛評估指數、嗎啡用量及嘔吐的發生機率均無影響,因此ketoprofen的經皮貼劑30mg對全子宮切除術後止痛效果有限。 |
英文摘要 | Background: In an attempt to reduce central sensitization after tissue injury, the concept of "pre-emptive analgesia" was evolved. The aim of the present study was to evaluate the analgesic effect of pre-incisional transdermal ketoprofen on post-hysterectomy pain. Methods: Sixty patients scheduled for elective trans-abdominal total hysterectomy were divided into three groups. The day before surgery, patients in Group 1 received transdermal ketoprofen 30 mg over the proposed surgical area twice; patients in Group 2 received a placebo patch under a similar design; patients in Group 3 received transdermal ketoprofen 30 mg over right thigh twice. Operations were performed under general anesthesia. Postoperatively, patients received patient-controlled analgesia with morphine for pain relief, and pain was assessed by visual analog-tie pain scale (VAS). Hemodynamic parameters, respiratory rate, sedation scale, morphine consumption and associated side effects were also recorded. Results: There was no significant difference among groups with respect to VAS, sedation scale, blood pressure, respiratory rate or morphine consumption within 24 hours postoperatively. The mean time for first morphine demand was significantly delayed in Group 1 patients (p<0.05). The incidence of nausea and vomiting among the three groups showed no significant difference. Conclusions: It seems that pre-incisional transdermal ketoprofen (30 mg, twice the day before surgery) has only a limited pre-emptive effect on post-hysterectomy pain as indicated by delayed first morphine request. Further, it had no effect on postoperative VAS, morphine consumption or incidence of nausea and vomiting. |
本系統中英文摘要資訊取自各篇刊載內容。