Effect of oxycodone hydrochloride combined with flurbiprofen axetil for intravenous patient-controlled analgesia in lower abdominal patients: A randomized trial.
Medicine (Baltimore)
; 97(7): e9911, 2018 Feb.
Article
em En
| MEDLINE
| ID: mdl-29443767
ABSTRACT
BACKGROUND:
Problems like postoperative pain are still common phenomena after general anesthesia. Oxycodone hydrochloride is a semisynthetic opioid with a safe and excellent therapeutic effect on visceral pain. Flurbiprofen axetil has the efficacy of targeted analgesia. We hypothesize that different doses of oxycodone hydrochloride combined with flurbiprofen axetil would generate great results on postoperative intravenous analgesia in lower abdominal patients.METHODS:
In the clinical trial, 90 American Society of Anesthesiologists I or II patients scheduled for elective general anesthesia were randomly divided into 3 groups, 30 cases in each group. Group I oxycodone hydrochloride 0.5âmg/kg + flurbiprofen axetil 150âmg, group II oxycodone hydrochloride 0.75âmg/kg + flurbiprofen axetil 150âmg, group III oxycodone hydrochloride 1.0âmg/kg + flurbiprofen axetil 150âmg. Dilute them with 0.9% saline to 150âmL, respectively, with the background dose of 2âmL/h, patient-controlled analgesia 2âmL per time, with an interval of 10âmin, and the loading dose of 0.1âmL/kg. Record the preoperative situation, 24 h (T0) before surgery, postoperative situation, 1 h (T1), 4 h (T2), 8 h (T3), 12 h (T4), 24 h (T5), 48 h (T6), 72 h (T7) after the surgery, including the mean arterial pressure, heart rate, saturation of pulse oximetry, static and dynamic pain rating (NRS) and Ramsay sedation score, effective pressing and total pressing ratio (referred to as the pressing ratio), patient satisfaction, and occurrence of adverse reactions.RESULTS:
There was no significant statistic difference in mean arterial blood pressure, heart rate, arterial oxygen saturation, and adverse reactions among the 2 groups at each time point (Pâ>â.05). Compared with group I, the static NRS rating in group II and group III were significantly lower than that in group I (Pâ<â.05) from T1 to T5. The dynamic NRS rating of group II from T1 to T4 and that of group III from T1 to T5 were significantly lower (Pâ<â.05). The effective pressing and total pressing ratio was significantly higher (Pâ<â.05). There was no significant statistic difference between group II and group III in NRS rating and the effective pressing and total pressing ratio (Pâ>â.05). Compared with group III, the Ramsay sedation scores of group I and group II were significantly lower from T1 to T4 (Pâ<â.05).CONCLUSION:
The dose of 0.75âmg/kg oxycodone hydrochloride combined with flurbiprofen axetil can provide safe and effective postoperative analgesia for lower abdominal patients, with fewer adverse reactions.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Oxicodona
/
Dor Pós-Operatória
/
Dor Abdominal
/
Flurbiprofeno
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article