[1]韩坤,唐勇,周乐,等.羟考酮无背景剂量自控静脉镇痛在剖宫产术后镇痛中的应用[J].中国计划生育和妇产科,2019,(2):55-58.
 HAN Kun,TANG Yong,ZHOU Le,et al.Application of no background patient-controlled intravenous analgesia with oxycodone in analgesia after cesarean section[J].Chinese Journal of Family Planning & Gynecotokology,2019,(2):55-58.
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羟考酮无背景剂量自控静脉镇痛在剖宫产术后镇痛中的应用
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2019年2期
页码:
55-58
栏目:
论著与临床
出版日期:
2019-02-25

文章信息/Info

Title:
Application of no background patient-controlled intravenous analgesia with oxycodone in analgesia after cesarean section
作者:
韩坤1唐勇2周乐2黄雅静2罗林丽1*
1.610041四川成都,四川大学华西第二医院麻醉科,出生缺陷与相关妇儿疾病教育部重点实验室;2.610066 四川 成都,四川锦欣妇女儿童医院麻醉科
Author(s):
HAN Kun1TANG Yong2ZHOU Le2 HUANG Ya-jing2 LUO Lin-li1*
1.Department of Anesthesiology,West China Second Hospital Affiliated of Sichuan University; Key Laboratory of Obstetric Gynecologic and Pediatric Diseases and Birth Defects,Ministry of Education,Chengdu Sichuan 610041,P.R. China;2. Department of Anesthesi
关键词:
无背景剂量术后镇痛羟考酮剖宫产术
Keywords:
no background postoperative analgesia oxycodone cesarean section
分类号:
R 6144+2
摘要:
目的探讨羟考酮无背景剂量自控静脉镇痛在剖宫产术后镇痛中的有效性和安全性。方法纳入2018年1~3月在四川锦欣妇女儿童医院拟行择期剖宫产的产妇60例,ASA分级Ⅰ~Ⅱ级,随机分为羟考酮无背景剂量自控静脉镇痛组(NB组)和羟考酮有背景剂量自控静脉镇痛组(CB组),每组各30例。两组患者均于术毕给予自控静脉镇痛泵镇痛,镇痛泵药物配方为盐酸羟考酮注射液60 mg加生理盐水至150 mL。NB组给予羟考酮无背景剂量自控静脉镇痛,参数设定为背景剂量0 mL,单次剂量2 mL。CB组给予羟考酮有背景剂量术后静脉镇痛,参
Abstract:
ObjectiveTo evaluate the effect and safety of no background patient-controlled intravenous analgesia with oxycodone in postoperative analgesia of cesarean section.Methods60 patients scheduled for cesarean section in Sichuan Jinxin Women and Children Hospi

参考文献/References:

[1]FUCHS F, BENHAMOU D. Post-partum management after cesarean delivery. Guidelines for clinical practice [J]. Journal de Gynecologie, Obstetrique et Biologie de La Reproduction, 2015, 44 (10): 1111-1117. [2]HUDCOVA J, MCNICOL E, QUAH C, et al. Patient controlled opioid analgesia versus conventional opioid analgesia for postoperative pain [J]. Cochrane Database of Systematic Reviews, 2006, 18 (4): 334-338. [3]ANDZIAK M, BETA J, BARWIJUK M, et al. Efficacy and tolerability of intravenous morphine patient-controlled analgesia (PCA) in women undergoing cesarean delivery [J]. Ginekologia Polska, 2015, 86 (6): 453-456. [4]CHOU R, GORDON D B, DE LEON-CASASOLA O A, et al. Guidelines on the management of postoperative pain [J]. Journal of Pain, 2016, 17 (2): 131-157. [5]RAJAN P V, WING D A. Postpartum hemorrhage: evidence-based medical interventions for prevention and treatment [J]. Clinical Obstetrics and Gynecology, 2010, 53 (1): 165-181. [6]GEORGE J A, LIN E-e, HANNA M N, et al. The effect of intravenous opioid patient-controlled analgesia with and without a background infusion on respiratory depression:A meta-analysis [J]. Journal of Opioid Management, 2010, 6 (1): 47-54. [7]Poyhia R. Opioids in anaesthesia: a questionnaire survey in Finland [J]. Eur J Anaesthesiol, 1994, 11(3): 221-230. [8]Kokki H, Kokki M, Sjovall S. Oxycodone for the treatment of postoperative pain [J]. Expert Opin Pharmacother, 2012, 13(7): 1045-1058. [9]Freire GM, Cavaleante RN, MOTTALEAL-FILHO J M, et al. Controlled release oxycodone improves pain management after uterine arteryembolisation for symptomatic fibroids [J]. Clinical Radiology, 2017, 72 (5): 428. [10]NAN-SEOL K, KYU S K, YOO S H, et al. A comparison of oxycodone and fentanyl in intravenous patient-controlled analgesia after laparoscopic hysterectomy [J]. Korean Journal of Anesthesiology, 2015, 68 (3): 261-266. [11]KIM N S, LEE J S, PARK S Y, et al. Oxycodone versus fentanyl forintravenous patient-controlled analgesia after laparoscopic supracerviealhysterectomy:a prospective,randomized,double-blind study [J]. Medicine, 2017, 96 (10): 62-66. [12]Smith HS, Laufer A. Opioid induced nausea and vomiting[J]. Eur J Pharmacol,2014,722: 67-78. [13]Berger NG, Ridolfi TJ, Ludwig KA. Delayed gastrointestinal recovery after abdominal operation - role of alvimopan [J]. Clin Exp Gastroenterol,2015,8(8):231-235. [14]徐建国,吴新民,罗爱伦,等.成人术后疼痛处理专家共识 [J].临床麻醉学杂志,2010, 26(3):190-196. [15]ABACI O, ARAT O A, KOCAS C, et al. Impact of rosuvastatin on contrast-induced acute kidney injury in patients at high risk for nephropathy undergoing elective angiograghy [J]. American Journal of Cardiology, 2015, 115(7): 867-871.

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备注/Memo

备注/Memo:
四川省卫生和计划生育委员会科研课题(项目编号: 18PJ173)
更新日期/Last Update: 2019-02-25