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帕瑞昔布钠在后路脊柱术后镇痛的疗效观察
引用本文:蔡明雪,李雅兰,林宏生,彭雪梅,吴昊.帕瑞昔布钠在后路脊柱术后镇痛的疗效观察[J].南方医科大学学报,2010,30(6).
作者姓名:蔡明雪  李雅兰  林宏生  彭雪梅  吴昊
作者单位:1. 暨南大学附属第一医院麻醉科,广东,广州,510632
2. 暨南大学附属第一医院骨科,广东,广州,510632
摘    要:目的 探讨帕瑞昔布钠在脊柱后路手术患者术后镇痛的临床疗效.方法 全麻下行后路脊柱手术患者80例,随机分为帕瑞昔布钠组和安慰剂组,双盲对照观察.镇痛方法:手术结束所有患者给予背景镇痛液吗啡1.0 mg/mL,,单次给药剂量2 ml后,帕瑞昔布钠组(40例):静脉注射帕瑞昔布钠40 mg,安慰剂组(40例)静脉注射生理盐水2 ml;术后24、48h予相同剂量重复给药.观察VAS疼痛评分、患者满意度和不良反应.结果 与安慰剂组相比,帕瑞昔布钠组术后6、12、24、48h四个时间点VAS评分明显小于安慰机组(P<0.05).两组满意率和不良反应发生率差异无统计学意义.结论 脊柱后路术后短期应用帕瑞昔布钠镇痛,可为患者提供良好的镇痛效果.

关 键 词:帕瑞昔布钠  脊柱后路术  术后镇痛

Postoperative analgesic effect of parecoxib sodium in patients with posterior spinal surgery
CAI Ming-xue,LI Ya-lan,LIN Hong-sheng,PENG Xue-mei,WU Hao.Postoperative analgesic effect of parecoxib sodium in patients with posterior spinal surgery[J].Journal of Southern Medical University,2010,30(6).
Authors:CAI Ming-xue  LI Ya-lan  LIN Hong-sheng  PENG Xue-mei  WU Hao
Institution:CAI Ming-xue1,LI Ya-lan1,LIN Hong-sheng2,PENG Xue-mei1,WU Hao2 1Department of Anesthesiology,2Department of Orthopedics,First Affiliated Hospital of Jinan University,Guangzhou 510630,China
Abstract:Objective To investigate the postoperative analgesic effect of parecoxib sodium in patients with posterior spinal surgery.Methods Eighty patients undergoing posterior spinal surgery under general anesthesia were randomly divided into parecoxib sodium group and placebo group(n=40).All the patients received a single dose of m ml morphine(1.0 mg/ml) as the background analgesia immediately after the operation.The patients in parecoxib sodium group were given 40 mg parecoxib sodium intravenously,and those in the...
Keywords:parecoxib-sodium  posterior spinal surgery  pastoperative analgesia  
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