腹腔镜术终运用氟比洛芬酯和氯诺昔康术后镇痛的比较  

Comparison of flurbiprofen with lornoxicam for laparoscopic postoperative pain relief

作　　者：周双琼[1] 鄢建勤[1] 刘雪[1] 

机构地区：[1]湖南省长沙市中南大学湘雅医院麻醉科,431001

出　　处：《实用疼痛学杂志》2006年第4期216-218,共3页Pain Clinic Journal

摘　　要：目的观察腹腔镜术终时分别运用氟比洛芬酯和氯诺昔康进行术后镇痛效果的比较。方法123例行择期腹腔镜手术的患者,随机分为A组(40例)、B组(43例)和C组(40例),于手术结束前分别不予镇痛处理、静脉注射氯诺昔康8 mg、氟比洛芬酯50 mg。于术后6 h内用视觉模拟评分(VAS)分别对3组患者进行疼痛评估,比较镇痛效果,并记录不良反应的发生。结果B组和C组的疼痛均明显减轻,C组患者的不良反应略轻于B组。结论氟比洛芬酯静脉注射用于腹腔镜手术术后镇痛效果与氯诺昔康接近,但不良反应少。Objective To compare the analgesic effect of flurbiprofen axetil and lornoxicam for patients with laparoscopic operation. Methods 123 patients with laparoscopic operation were divided randonfly into group A（n =40） ,group B（n =43） and group C（n =40）. The patients in group A were given no administration ,while the group B and group C were administrated 8 mg lornoxicam or/and 50 mg flurbiprofen axetil iv before the end of operation respectively. Result There was obvious analgesic effect in group B and group C,according to VAS at 6 h after operation but side effects were less in group C than that in group B. Conclusion Flurbiprofen axetil shows equivalent postoperative analgesic effect to lornoxicam,but less side effects in patients with laparoscopic operation.

关 键 词：腹腔镜 疼痛 手术后 镇痛 氟比洛芬酯 氯诺昔康 

分 类 号：R614[医药卫生—麻醉学]