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題 名 | Postoperative Intramuscular Dextromethorphan Injection Provides Postoperative Pain Relief and Decreases Opioid Requirement after Hemorrhoidectomy=痔瘡手術後給予Dextromethorphan肌肉注射可以降低術後疼痛及類鴉片藥物的需求 |
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作 者 | 張芳霖; 吳慶堂; 葉春長; 林作舟; 何善臺; 汪志雄; | 書刊名 | 麻醉學雜誌 |
卷 期 | 37:4 1999.12[民88.12] |
頁 次 | 頁179-183 |
分類號 | 416.5 |
關鍵詞 | 痔瘡; 術後疼痛; Dextromethorphan; Hemorrhoids; Pain; Postoperative; |
語 文 | 英文(English) |
中文摘要 | 背景:痔瘡切除術後的疼痛常令病患痛苦難當。最近的研究已顯示在術中注射止 咳藥 dextromethorphan ( DM ),一種 NMDA 接受器拮抗劑,具有止痛的效果。本實驗的 目的是檢測在痔瘡切除術後肌肉注射 DM, 是否也具有止痛的效果,以改善痔瘡術後的疼痛 並可降低類鴉片類藥物的需求及副作用。 方法:本實驗選擇六十位 ASA Ⅰ - Ⅱ預備要接受痔瘡切除的病人,隨機分為二組。實驗組 病人在術後接受肌肉注射 DM 40 mg 和 CPM 20 mg; 對照組病人在術後接受肌肉注射 CPM 20 mg。術後病人若要求止痛則給予肌肉注射 pethidine ( 1 mg ╱ kg )。術後我們觀察 48 小時,並記錄病人第一次要求注射 pethidine 的時間、pethidine 的總消耗量、最痛的 分數及 pethidine 引起的副作用等。 結果: 第一次 pethidine 注射的時間在對照組和實驗組分別為 5.4 ± 1.6 和 17.8 ± 3.7 小時。 Pethidine 的總消耗量則分別為 139.5 ± 11.5 (對照組)和 77.5 ± 12.2 (實驗組)毫克。 需要 pethidine 止痛的人數分別為 29 (對照組)和 21 (實驗組)人 。 而有注射 pethidine 的病人其 VAS 最痛的分數分別為 7.5 ± 0.2 (對照組)和 7.1 ± 0.2 (實驗組)。至於 pethidine 引起的副作用則分別為 7 (對照組)及 1 (實驗組 )人。 結論: 我們發現術後肌肉注射 DM 可降低痔瘡術後的疼痛、並延後第一次 pethidine 注射 的時間,且 pethidine 的消耗量及 pethidine 引起的副作用均明顯的降低。 |
英文摘要 | Background: previous studies have shown that dextromethorphan (DM) produces an analgesic/antihyperalgesic effect. This study was designed to examine whether postoperative DM intramuscular (IM) injection could reduce post-hemorrhoidectomy pain. Methods: At the end of surgery, patients in the study group (n = 30) were given an intramuscular injection of 40 mg DM and 20 mg chlorpheniramine (CPM) while in the study group (n = 30), the patients were given intramuscular 20 mg CPM only. Pethidine (1 mg/kg, IM) was prescribed for postoperative pain relief if required. The time to first pethidine injection, total pethidine consumption, worst pain score, and pethidine-related side effects were recorded for 48 h postoperatively. Results: The time from the end of operation to the first pethidine injection was 5.4 ± 1.6 h and 17.8 ± 3.7 h (P=0.006) in the control group and the study group, respectively. Total pethidine consumption was 139.5 ± 11.5 mg and 77.5 ± 12.2 mg (P<0.001) in the control group and the study group, respectively. The worst VAS score was 7.5 ± 0.2 and 7.1 ± 0.2 (P=0.09) in the control and the study groups, respectively. The number of patients who required pethidine injection was 29 and 21 (P<0.005) in the control and the study groups, respectively. The number of patients who suffered pethidine-related side effects was 7 and 1 (P<0.025) in the control and the study groups, respectively. Conclusions: We found that intramuscular DM given at the end of operation could provide good postoperative pain relief and decrease the pethidine requirement after hemorrhoidectomy. |
本系統中英文摘要資訊取自各篇刊載內容。