超前镇痛在吸脂整形术中的应用  

Application of Preemptive Analgesia in Plastic and Cosmetic Operation

作　　者：刘志飞[1] 王晓军[1] 王先成[1] 闫迎军[1] 曾昂[1] 白明[1] 乔群[1] 

机构地区：[1]中国协和医科大学中国医学科学院北京协和医院,100086

出　　处：《整形再造外科杂志》2006年第1期31-33,共3页

摘　　要：目的探讨氨酚羟考酮的超前镇痛效果以及超前镇痛在整形美容手术中的临床作用。方法从2003年8月到2004年8月,我们选取40例吸脂患者采用随机、平行、双盲对照式进行试验。试验组口服氨酚羟考酮,对照组口服葡萄糖酸钙,采用疼痛程度视觉模拟评分(visualanaloguescale,VAS)法观测手术开始、手术结束时患者的疼痛程度并记录分析。结果手术开始时试验组(口服氨酚羟考酮组)与对照组(葡萄糖酸钙组)2组样本t检验、结束时试验组与对照组2组样本t检验,P<0.05,说明试验组与对照组比较,氨酚羟考酮在术中、术后具有明显减轻疼痛的效果。结论氨酚羟考酮具有良好的超前镇痛效果;在整形美容手术中应用超前镇痛的作用,能使患者在术中或术后减轻疼痛和恐惧感,提高患者对手术效果的满意度。Objective To discuss the effect of preemptive analgesia of Paracetamol and Oxycodone and the actions of using of preemptive analgesia in plastic and cosmetic operation.Methods From August 2003 to August 2004,we applied a randomized double blind controlled experiment in 40 patients who had liposuction.The experimental group took Paracetamol and Oxycodone orally and the control group took calcium gluconate orally.The degree of ache were evaluated by Visual Analogue Scale(VAS) at the beginning and end of the operation and the result was recorded and analysed.Results T test was used to compare the pain degree from the experimental and control group,and there was great significant difference between the experimental and control group at the beginning and end of operations(P<0.05).This meaned Paracetamol and Oxycodone can relieve the pain operatively and post-operatively.Conclusions Paracetamol and Oxycodone has good preemptive analgetic effect.Preemptive analgesia can relieve pain and scares of patients operatively and post-operatively to improve the satisfaction of patients to operation effects in plastic and cosmetic surgeries.

关 键 词：超前镇痛 吸脂整形术 氨酚羟考酮 整形美容手术 试验组 对照组 葡萄糖酸钙 镇痛效果 疼痛程度 减轻疼痛 患者 视觉模拟评分 口服 手术中应用 样本 双盲对照 术后 手术效果 临床作用 记录分析 

分 类 号：R[医药卫生]