对乙酰氨基酚单药治疗与对乙酰氨基酚/帕雷可昔布联合治疗与哌替啶/对乙酰氨基酚联合治疗在甲状腺切除术患者中的镇痛效果。

IF 2.5 Q2 OBSTETRICS & GYNECOLOGY
Przeglad Menopauzalny Pub Date : 2021-12-01 Epub Date: 2021-11-24 DOI:10.5114/pm.2021.110955
Francesk Mulita, Georgios-Ioannis Verras, Fotios Iliopoulos, Charalampos Kaplanis, Elias Liolis, Levan Tchabashvili, Christos Tsilivigkos, Ioannis Perdikaris, Argyro Sgourou, Adamantia Papachatzopoulou, Ioannis Maroulis
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引用次数: 3

摘要

前言:本研究的目的是探讨三种不同的联合镇痛方案对甲状腺切除术患者的镇痛效果。材料和方法:共纳入152例接受甲状腺全切除术或次全切除术的患者。A组患者给予静脉(IV)扑热息痛联合肌注(IM)哌啶,B组患者给予静脉(IV)扑热息痛联合静脉(parecoxib), C组患者给予静脉(IV)扑热息痛联合静脉(parecoxib), C组患者给予静脉(IV)扑热息痛单药治疗。结果:A组与B组镇痛方案疗效相当(p值= 1.000)。相比之下,C组(扑热息痛单药治疗)患者的数值评定量表得分高于A组(p值< 0.001)和B组(p值< 0.001)。结论:静脉注射扑热息痛与IM哌啶或静脉注射帕雷昔布联合治疗在控制甲状腺手术患者疼痛方面优于静脉注射扑热息痛单药治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Analgesic effect of paracetamol monotherapy vs. the combination of paracetamol/parecoxib vs. the combination of pethidine/paracetamol in patients undergoing thyroidectomy.

Analgesic effect of paracetamol monotherapy vs. the combination of paracetamol/parecoxib vs. the combination of pethidine/paracetamol in patients undergoing thyroidectomy.

Analgesic effect of paracetamol monotherapy vs. the combination of paracetamol/parecoxib vs. the combination of pethidine/paracetamol in patients undergoing thyroidectomy.

Introduction: The purpose of this study was to investigate the analgesic effect of 3 different regimens of combination analgesics administered to patients undergoing thyroidectomy.

Material and methods: A total of 152 patients undergoing total or subtotal thyroidectomy were enrolled. Patients allocated to group A received a combination of intravenous (IV) paracetamol and intramuscular (IM) pethidine, patients in group B received a combination of IV paracetamol and IV parecoxib, while patients in group C received IV paracetamol monotherapy.

Results: The analgesic regimens of groups A and B were found to be of equivalent efficacy (p-value = 1.000). In contrast, patients in group C (paracetamol monotherapy) had higher numerical rating scale scores, compared to both patients in groups A (p-value < 0.001) and B (p-value < 0.001).

Conclusions: The combinations of IV paracetamol with either IM pethidine or IV parecoxib are superior to IV paracetamol monotherapy in achieving pain control in patients undergoing thyroid surgery.

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来源期刊
Przeglad Menopauzalny
Przeglad Menopauzalny OBSTETRICS & GYNECOLOGY-
CiteScore
3.40
自引率
11.10%
发文量
32
审稿时长
6-12 weeks
期刊介绍: Menopausal Review is a scientific bimonthly aimed at gynecologists and endocrinologists.
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