氟比洛芬酯和帕瑞昔布钠用于玻璃体切割术的超前镇痛效果

目的比较氟比洛芬酯和帕瑞昔布钠用于玻璃体切割术超前镇痛的效果。方法75例择期在监测麻醉下行玻璃体切割术患者，随机分为对照组、氟比洛芬酯组和帕瑞昔布钠组。记录患者术后24h内VAS评分及恶心呕吐的发生情况。结果1，3，6h氟比洛芬酯组和帕瑞昔布钠组的VAS评分均低于对照组（P〈0．05），3组患者恶心呕吐发生率无明显差异。结论氟比洛芬酯和帕瑞昔布钠镇痛效果良好，不良反应少，能提供良好的术中及术后镇痛效果。

Preemptive Analgesic Effects of Flurbiprofen and Parecoxib in Vitrectomy

OBJECTIVE To compare the preemptive analgesic effects of flurbiprofen and parecoxib in vitrectomy. METHODS Seventy-five patients undergoing monitored anaesthesia care were randomly divided into 3 groups: control group, flurbiprofen group and parecoxib group. The visual analogue scale (VAS) and postoperative nausea and vomiting (PONV) were recorded within 24 h. RESULTS Compared with control group, VAS scores were significantly lower in flurbiprofen group and parecoxib group at 1, 3, 6 h(P<0.05). There were no significant differences among three groups in the incidence of PONV. CONCLUSION Flurbiprofen and parecoxib can offer more effective and safer analgesia for perioperative pain relief than saline in vitrectomy.