Clinical observation of Flurbiprofen Axetil Injection combined with intravenous Fentanyl in the postoperative analgesia
Jingwei Dai
Abstract
Jingwei Dai
Abstract
Objective:To observe the effect of Flurbiprofen Axetil Injection combined with intravenous Fentanyl in the postoperative analgesia.Methods:100 patients in ASA Ⅰ-Ⅱ level were randomly divided into two groups,the control group(group A) was given persistent intravenous Fentanyl,15 μg/h;the experimental group(group B) was given intravenous Flurbiprofen Axetil Injection of 1 mg/kg at 15 minutes before the operation and persistent intravenous Fentanyl 15 μg/h after the operation.The postoperative 1,3,6,12,18 and 24 h visual analogue scale(VAS) scores and analgesic satisfaction,the number of additional remedy analgesics and adverse reaction were observed and recorded.Results:The VAS analgesia score of group B at 1,3,6 and 12 h after operation were lower than group A(P0.01 or P0.05).At 18 h,the difference of the analgesia score between the two groups was not significant.The good rate of group A was 64%,which of group B was 96%,there was significant difference of analgesia good rate between the two groups(P0.05).During 1-12 h after operation,there were 18 patients in group A and 2 cases in group B needing to muscle note Pethidine to ease pain,with significant difference between the two groups(P0.05).Conclusion:The treatment of intravenous Flurbiprofen Axetil Injection of 1 mg/kg at 15 minutes before the operation can enhance the analgesic effect of the small dose of Fentanyl,reduce the dosage of Opioids at the same time and lower the adverse reaction rate.
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Objective:To observe the effect of Flurbiprofen Axetil Injection combined with intravenous Fentanyl in the postoperative analgesia.Methods:100 patients in ASA Ⅰ-Ⅱ level were randomly divided into two groups,the control group(group A) was given persistent intravenous Fentanyl,15 μg/h;the experimental group(group B) was given intravenous Flurbiprofen Axetil Injection of 1 mg/kg at 15 minutes before the operation and persistent intravenous Fentanyl 15 μg/h after the operation.The postoperative 1,3,6,12,18 and 24 h visual analogue scale(VAS) scores and analgesic satisfaction,the number of additional remedy analgesics and adverse reaction were observed and recorded.Results:The VAS analgesia score of group B at 1,3,6 and 12 h after operation were lower than group A(P0.01 or P0.05).At 18 h,the difference of the analgesia score between the two groups was not significant.The good rate of group A was 64%,which of group B was 96%,there was significant difference of analgesia good rate between the two groups(P0.05).During 1-12 h after operation,there were 18 patients in group A and 2 cases in group B needing to muscle note Pethidine to ease pain,with significant difference between the two groups(P0.05).Conclusion:The treatment of intravenous Flurbiprofen Axetil Injection of 1 mg/kg at 15 minutes before the operation can enhance the analgesic effect of the small dose of Fentanyl,reduce the dosage of Opioids at the same time and lower the adverse reaction rate.
Key concepts: Medicine, Pethidine, Fentanyl, Anesthesia, Flurbiprofen, Analgesic, Visual analogue scale, Adverse effect