The clinical study of different dose of dezocine in preventing postoperative pain after painless artificial abortion
10.3760/cma.j.issn.1008-1372.2013.03.011
- VernacularTitle:不同剂量地佐辛预防无痛人流术后痛的临床研究
- Author:
Shibin ZHANG
;
Yu LUO
;
Lijun ZHANG
;
Xuemei LIU
;
Bofen ZHANG
- Publication Type:Journal Article
- Keywords:
Cycloparaffins/therapeutic use;
Cycloparaffins/administration & dosage;
Abortion,induced/adverse effects;
Pain,postoperative/drug therapy
- From:
Journal of Chinese Physician
2013;(3):328-330
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the lowest and most effective dose of dezocine in preventing postoperative pain after painless artificial abortion.Methods A total of 180 ASA Ⅰ ~ Ⅱ patients who accepted painless artificial abortion were randomly divided into 6 groups (n =30 patients per group).Group 1 (control) was given the placebo (0.9% NS; 2 ml) by vein while other groups were given dezocine by vein with 0.01 mg/kg (group 2),0.02 mg/kg (group 3),0.03 mg/kg (group 4),0.04 mg/kg (group 5),and 0.05 mg/kg (group 6),respectively.The dosage of propofol,BP,HR,SpO2 during the operation,operation time,consciousness recovery time,analgesic effect (VAS score),leaving time,defecation feeling,and untoward reaction of each group were recorded and compared.Results The dosage of propofol in the 5 dezocine groups were significantly lower than that in the control group,respectively (t =2.38,4.72,6.03,4.57,3.96,P < 0.05),while the difference in the operation time,consciousness recovery time and leaving time between the 5 dezocine groups and the control group had not statistical significance (P >0.05).The effect of postoperative analgesia and defecation feeling were apparently improved in the group 3,4,5 and 6,compared to the control group(group 3:x2 =3.36,6.94,P < 0.05;group 4:x2 =7.17,15.01,P < 0.05 ; group 5:x2 =15.5,24.3,P < 0.01 ; group 6:x2 =13.01,20.24,P < 0.01).Conclusions The lowest and most effective dose of dezocine was 0.05 mg/kg in preventing postoperative pain after painless artificial abortion.