Clinical observation of inferior alveolar nerve block combined with parecoxib sodium intravenous analgesia after mandible orthognaxillary surgery
10.12016/j.issn.2096-1456.2020.05.006
- Author:
ZHANG Dan
1
,
2
,
3
;
CAO Yubin
1
,
2
,
3
;
LIN Jie
1
,
2
,
3
Author Information
1. State Key Laboratory of Oral Diseases &
2. National Clinical Research Center for Oral Diseases &
3. Department of Oral Anesthesia , West China Hospital of Stomatology, Sichuan University
- Publication Type:Journal Article
- Keywords:
orthognathic surgery;
orthognathic operation of mandible;
inferior alveolar nerve;
nerve block;
postoperative analgesia;
ropivacaine;
parecoxib sodium;
nausea and vomiting
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2020;28(5):303-306
- CountryChina
- Language:Chinese
-
Abstract:
Objective : To compare the analgesic effect and safety of bilateral inferior alveolar nerve block combined with parecoxib sodium analgesia and simple intravenous analgesia pump in analgesia after orthognathic surgery.
Methods :Forty patients with simple ascending sagittal split osteotomy and ankle plasty were randomly divided into the experimental group and the control group, with 20 patients in each group. The experimental group received 2 mL 1% ropivacaine by inferior alveolar nerve block anesthesia on both sides. Immediately after surgery, parecoxib sodium 40 mg was intravenously administered. The control group was given an intravenous analgesia pump for analgesia. Pain intensity (VAS pain score) and Ramsay sedation score were recorded at 2 h, 4 h, 8 h, 24 h, 48 h after operation, and the incidence of postoperative adverse reactions was observed.
Results:There was no significant difference in pain intensity and Ramsay sedation score between the two groups at each time point (P>0.05). During the analgesic treatment, the incidence of nausea and vomiting in the experimental group was significantly lower than that in the control group (P<0.05).
Conclusion: Bilateral inferior alveolar nerve block combined with parecoxib sodium analgesia and simple intravenous analgesia pump are effective for analgesia after mandibular orthognathic surgery, but the former has a lower incidence of adverse reactions, more suitable for analgesia after mandibular orthognathic surgery.
- Full text:下颌骨正颌术后下牙槽神经阻滞麻醉联合帕瑞昔布钠静脉镇痛的临床观察.pdf
