Effects of Different Doses of Flurbiprofen Axetil on Analgesia Effects of Patients after Laparoscopic Chole-cystectomy
10.6039/j.issn.1001-0408.2016.08.23
- VernacularTitle:不同剂量氟比洛芬酯对腹腔镜胆囊切除术后患者镇痛效果的影响Δ
- Author:
Qian MIAO
;
Xiangli GAO
;
Li DAI
;
Lan CHEN
;
Yanmei RUAN
;
Tao YANG
- Publication Type:Journal Article
- Keywords:
Flurbiprofen axetil;
Tramadol;
Ondansetron;
Patient controlled intravenous analgesia;
Laparoscopic cholecystectomy
- From:
China Pharmacy
2016;27(8):1085-1087
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To evaluate the effects of different doses of flurbiprofen axetil on analgesia effects of patients after laparoscopic cholecystectomy. METHODS:120 patients undergoing laparoscopic cholecystectomy were selected and randomly divid-ed into group A,B and C,with 40 cases in each group. Group A,B and C were given the mixture 100 ml of flurbiprofen axetil 100,150 and 200 mg combined with tramadol 600 mg and ondansetron 4 mg respectively and 0.9% Sodium chloride injection for patient controlled intravenous analgesia(PCIA)at the end of operation. Mean arterial pressure(MAP),heart rate(HR)and static and dynamic visual analogue scale(VAS)scores were observed in 3 groups at the end of operation,4,8,24 and 36 h after sur-gery. The incidence of incision pain,neck-shoulder pain and hypochondrium,the occurrence of ADR were recorded 36 h after oper-ation. RESULTS:After operation,There was no statistical significance in comparison of 3 groups with MAP,HR,static and dynam-ic VAS(P>0.05),4,8,24,and 36 h after operation,MAP,HR,static and dynamic VAS score of group B and C decreased sig-nificantly,there was statistical significance,compared with group A(P<0.05);there was no statistical significance in above indi-cators between group B and group C(P>0.05). After operation,the incidence of incision pain,neck-shoulder pain and hypochon-drium in group A were significantly higher than group B and C,with statistical significance(P<0.05),but there was no statistical significance between group B and group C(P>0.05). After operation,the incidence of ADR in group A and B were significantly lower than in group C,with statistical significance(P<0.05),but there was no statistical significance between group A and group B(P>0.05). CONCLUSIONS:Flurbiprofen axetil 150 mg combined with tramadol 600 mg and ondansetron 4 mg can improve he-modynamics and patient controlled intravenous analgesia in patients underwent laparoscopic cholecystectomy with lower incidence of ADR.
