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논문 기본 정보

자료유형
학술저널
저자정보
Sang-Min Lee (Busan Wooridul Spine Hospital (WSH)) Dong-Ju Yun (Busan Wooridul Spine Hospital (WSH)) Sang-Ho Lee (Wooridul Spine Hospital (WSH) Cheongdam) Hyung-Chang Lee (Busan Wooridul Spine Hospital (WSH)) Kyung Ho Joeng (Busan Wooridul Spine Hospital (WSH))
저널정보
대한통증학회 The Korean Journal of Pain The Korean Journal of Pain 제34권 제2호
발행연도
2021.1
수록면
193 - 200 (8page)

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Background: Local anesthetic infiltration at the site of a surgical wound is commonly used to control postoperative pain. In this study, we examined the effectiveness of continuous local infiltration at an abdominal surgical site in patients undergoing anterior lumbar interbody fusion (ALIF) surgery. Methods: Sixty-one patients who underwent ALIF surgery were enrolled. For thirtyone of them, a continuous local anesthetics infiltration system was used at the abdominal site. We collected data regarding the patients’ sleep quality; satisfaction with pain control after surgery; abilities to perform physical tasks and the additional application of opioids in the postoperative 48 hours. Results: The On-Q system group showed reduced visual analogue scale scores for pain at the surgical site during rest and movement at 0, 12, 24, and 48 hours; and more was satisfied with pain control management at the first postoperative day (7.0 ± 1.2 vs. 6.0 ± 1.4; P = 0.003) and week (8.1 ± 1.6 vs. 7.0 ± 1.8; P = 0.010) than the control group. The number of additional patient-controlled analgesia (PCA) bolus and pethidine injections was lower in the On-Q group (PCA: 3.67 ± 1.35 vs. 4.60 ± 1.88; P = 0.049 and pethidine: 2.09 ± 1.07 vs. 2.73 ± 1.38; P = 0.032). Patients who used the On-Q system performed more diverse activity and achieved earlier ambulation than those in the control group. Conclusions: Continuous wound infiltration with ropivacaine using an On-Q system may be effective for controlling postoperative pain after ALIF surgery.

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