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2014, 03, v.23 163-166
氟比洛芬酯注射剂用于肺癌手术后自控镇痛的疗效观察
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DOI: 10.19577/j.cnki.issn10074406.2014.03.008
发布时间: 2014-05-25
出版时间: 2014-05-25
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摘要:

目的观察氟比洛芬酯注射剂用于肺癌手术后自控镇痛的临床疗效。方法选取我院胸外科肺癌患者88例,随机分为对照组(使用芬太尼镇痛,n=42)和研究组(使用氟比洛芬酯镇痛,n=46),观察2组患者术后0、6、12、24、48 h的血压、心率、血氧饱和度、视觉模拟评分(VAS)、Ramsay镇静评分(RSS)、自控镇痛按压次数以及不良反应的发生率。结果 2组患者的血压、心率、血氧饱和度、VAS、RSS和自控镇痛按压次数等相比差异均无统计学意义,而不良反应中的恶心呕吐在对照组中发生率有31.0%,显著高于研究组的17.4%(P<0.05)。结论氟比洛芬酯注射剂用于肺癌手术后镇痛疗效良好,不良反应轻。

Abstract:

AIM To observe the efficacy of flurbiprofen axetil injection for analgesia after lung cancer operation. METHODS A total of 88 lung caner patients in our hospital were randomly divided into control group( using fentanyl analgesia,n = 42) and study group( using flurbiprofen axetil analgesia,n = 46). The blood pressure,heart rate,oxyhemoglobin saturation,visual analogue scale( VAS),Ramsay sedation scale( RSS) 0,6,12,24 or 48 h after surgery,number of pressing the patient-control machine in 48 h and incidence of adverse drug reactions in 2groups were determined. RESULTS Blood pressure,heart rate,oxyhemoglobin saturation,VAS,RSS and number of pressing in 2 groups showed no statistical significance,and the nausea and vomiting adverse reaction in control group was 31. 0%,significantly higher than 17. 4% in study group( P < 0. 05). CONCLUSION Flurbiprofen axetil injection produces effective curative effect with little adverse drug reactions in lung cancer post-operative analgesia.

参考文献

[1]Yamashita K,Fukusaki M,Ando Y,et al.Preoperative administration of intravenous flurbiprofen axetil reduces postoperative pain for spinal fusion surgery[J].J Anesth,2006,20(2):92.

[2]Volak LP,Hanley MJ,Masse G,et al.Effect of a herbal extract containing curcumin and piperine on midazolam,flurbiprofen and paracetamol(acetaminophen)pharmacokinetics in healthy volunteers[J].Br J Clin Pharmacol,2013,75(2):450.

[3]Takada M,Taruishi C,Sudani T,et al.Intravenous flurbiprofen axetil can stabilize the hemodynamic instability due to mesenteric traction syndrome-evaluation with continuous measurement of the systemic vascular resistance index using a FloTrac*sensor[J].J Cardiothorac Vasc Anesth,2013,27(4):696.

[4]Stuart MG,Neubert L,Green P.Anesthetic care of stiff person syndrome in the outpatient setting[J].Journal of Anesthesiology and Clinical Research,2013,2(1):5.

[5]Wu CL,Raja SN.Treatment of acute postoperative pain[J].Lancet,2011,377(9784):2215.

[6]Ueda H,Ueda M.Mechanisms underlying morphine analgesic tolerance and dependence[J].Front Biosci C Landmark Ed,2009,14:5260.

[7]Fujii Y,Itakura M.Efficacy of the lidocaine/flurbiprofen axetil combination for reducing pain during the injection of propofol[J].Minerva Anestesiol,2011,77(7):693.

[8]Rantala M,Kankkunen P,Kvist T.Barriers to postoperative pain management in hip fracture patients with dementia as evaluated by nursing staff[J].Pain Manage Nurs,2012,15(12):119.

基本信息:

DOI:10.19577/j.cnki.issn10074406.2014.03.008

中图分类号:R734.2

引用信息:

[1]李晓静,马红.氟比洛芬酯注射剂用于肺癌手术后自控镇痛的疗效观察[J].中国临床药学杂志,2014,23(03):163-166.DOI:10.19577/j.cnki.issn10074406.2014.03.008.

发布时间:

2014-05-25

出版时间:

2014-05-25

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