구개수구개인두성형술에서 수술 전 Bupivacaine 침윤주사와 Dextromethorphan 경구투여가 수술 후 통증에 미치는 효과

오현진; 김명원; 김병국; 정대건; 박소영; 이동목

추천

검색

자료유형: 학술저널

저자정보: 오현진 김명원 김병국 정대건 박소영 이동목

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제45권 제11호

발행연도: 2002.1

수록면: 1,077 - 1,080 (4page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background and Objectives：Uvulopalatopharyngoplasty is one of the most painful surgical procedures in otolaryngology. Repetitive nociceptive impulses from injured peripheral tissues and activation of N-methyl-D-aspartic acid (NMDA) receptors induce central sensitization and post-injury pain hypersensitivity states. We aimed this study to evaluate whether bupivacaine for preincisional block of nociceptive aferent inputs and dextromethorphan, a clinicaly available NMDA receptor antagonist could reduce postoperative pain after uvulopalatopharyngoplasty. Materials and Method：pharyngoplasty were randomly asigned to one of the thre groups：control, bupivacaine, and bupivacaine- dextromethorphan groups. The second and third group had 10 ml of 0.25% bupivacaine hydrochloride infiltrated around tonsils and soft palate before incision. The third group was given oral doses of dextromethorphan before and after surgery. Pain was asesed using numeric rating scale at rest and on swallowing on postoperative day 0, 1, 2, 3, and 5. Daily consumption of supplementary diclofenac sodium was also recorded. Results：infiltration with or without dextromethorphan on postoperative days 0, 1, 2, 3, and 5. Swallowing pain scores were significantly lower in the bupivacaine-dextromethorphan group on days 0, 1, and 2. Conclusion：Preincisional infiltration with bupivacaine and oral dextromethorphan could decrease the intensity of postoperative pain following uvulupalatopharyngoplasty. (Korean J Otolaryngol 2002 ;45 :1077-80)

#구개수구개인두성형술·통증·Bupivacaine·Dextromethorphan. #Uvulopalatopharyngoplasty·Pain·Bupivacaine·Dextromethorphan

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!