文章摘要
张文宇1 蒋萌2 陈翎2.围术期应用肼苯哒嗪预防疝修补术后慢性疼痛的研究[J].,2011,11(21):4144-4146
围术期应用肼苯哒嗪预防疝修补术后慢性疼痛的研究
Perioperative Administration of Hydralazine Prevents PostoperativeChronic Pain After Herniorrhaphy
  
DOI:
中文关键词: 肼苯哒嗪  疝修补术  急性疼痛  术后慢性疼痛
英文关键词: Hydralazine  Herniorrhaphy  Acute Pain  Postoperative Chronic Pain
基金项目:
作者单位
张文宇1 蒋萌2 陈翎2 湘潭市第一人民医院普外科 
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中文摘要:
      目的:探讨肼苯哒嗪对疝修补术后患者慢性疼痛发生率的影响。方法:选择单侧腹股沟疝患者48人,随机分为实验组(T组) 和对照组(C 组)各24 例,在术前3 天至术后4 天共7 天内接受药物或安慰剂治疗。其中T 组每日两次,每次10mg 肼苯哒嗪,C 组同样方式给予安慰剂。测量患者术后4天内的平均动脉压(MAP)、心率(HR)、NRS急性疼痛评分以及术后3月、6月S-LANSS 慢性疼痛评分。结果:T 组患者术后MAP明显低于C 组(P<0.05),HR 两组相比无差异(P>0.05);两组患者术后急性疼痛程度相 比无统计学差别(P>0.05);T组患者在术后3月和6月慢性疼痛发生率明显低于C 组(P<0.05)。结论:常规剂量肼苯哒嗪可以用 于术后患者,对疝修补术后急性疼痛无影响,但可以明显降低术后慢性疼痛的发生率。
英文摘要:
      Objective: To explore the role of hydralazine in prevention of postoperative chronic pain. Methods: 48 patients with herniorrhaphy were randomly divided into Test group (T group, n=24) and Control group (C group, n=24). The patients in T group were treated with 10 mg hydralazine BID, and the patients in C group was administered with placebo in the same manner. The MAP, HR, NRS score were measured during the first four days after operation, and S-LANSS scores were reported by every available patient at 3 and 6 months postoperatively. Results: The MAP level of T group patients was significantly lower than that of C group (P<0.05); HR in the two groups has no signicant difference(P>0.05).There was no significant differences of NRS scores in the two groups(P>0.05). The incidences of postoperative chronic pain was obviously lower in T group than those in C group(P<0.05). Conclusions: Hydralazine can obviously decrease the incidence of postoperative chronic pain rather than the acute pain in patients after herniorrhaphy.
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