Analgesic efficacy of dezocine at distinct dose on acute postoperative pain in patients undergoing abdominal surgery
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    Abstract:

    Objective:To observe analgesis effects and safety of dezocine at a distinct dose on postoperative pain control in patients undergoing abdominal endoscopic surgery. Methods: Sixty patients (ASA physical status: Grade 1~2) were scheduled to undergo abdominal endoscopic surgeries. Those patients were randomly divided into 3 groups with 20 healthy subjects in each group. The fentanyl group (F group): the patients were given fentanyl (1 μg/kg) intravenously 30 min prior to the end of surgical procedure. D1, D2 group: dezocine (100 μg/kg, 200 μg/kg) was substituted for fentanyl, respectively. The visual analogue scale (VAS) for pain at rest at 2, 4, 24 h and in motion was evaluated postoperatively. The time for wake-up from general anesthesia and sedation status of patients after extubation were also recorded. The incidence of postoperative nausea and vomiting (PONV) in 24 h after surgery was recorded. Results: The VAS values at rest at 2, 4, 24 h time points posterior to extubation in F group were higher as compared with D1, D2 group (P < 0.05). The consumption dose of flurbiprofen for rescue of postoperative pain in F Group was higher than the other two groups (P < 0.05). In addition, the VAS values in motion at 4, 24 h in D2 group were significantly reduced in comparison with D1 group (P < 0.05). The Ramsay score in F group was lower than that in D1 and D2 group (P < 0.05). There was no significant difference in time for wake-up from general anesthesia and incidence of PONV among three groups. Conclusion: Dezocine at 100~200 μg/kg was effective in alleviation of postoperative pain and decreased the postoperative consumption of flurbiprofen as a remedy for pain control. Furthermore, dezocine (200 μg/kg) led to the amelioration of pain in motion and was beneficial in early ambulation for patients.

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李冰冰,朱 巍,陶 佳,蒋 忠,马正良.不同剂量地佐辛用于腹部手术患者术后镇痛效果的比较[J].南京医科大学学报(自然科学版英文版),2014,(10):1404-1407.

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  • Received:December 18,2013
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  • Online: November 02,2014
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