The effect of gender and age on postoperative pain in laparoscopic cholecystectomy: a prospective observational study

채경린; 박상융; 홍정인; 임우재; 이승철; 정찬종

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자료유형: 학술저널

저자정보: 채경린 (동아대학교병원 마취통증의학과) 박상융 (동아대학교) 홍정인 (동아대학교 의과대학 마취통증의학교실) 임우재 (동아대학교 의과대학) 이승철 (동아대학교) 정찬종 (동아대학교)

저널정보: 대한마취통증의학회(구 대한마취과학회) Anesthesia and Pain Medicine Anesthesia and Pain Medicine Vol.14 No.3

발행연도: 2019.1

수록면: 364 - 369 (6page)

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Background: Gender and age are known factors that affect postoperative pain. The purpose of this study was to investigate the effect of gender and age on postoperative pain and analgesic consumptions after laparoscopic cholecystectomy. Methods: We studied 240 adult patients (120 female patients and 120 male patients) who underwent elective 3-port laparoscopic cholecystectomy under general anesthesia. The numerical rating scale (NRS) scores were assessed before surgery, when the patient arrived in the recovery room, and at 8, 16, and 24 h after surgery. Analgesic consumptions in the recovery room and at 24 h postoperatively were evaluated. We compared the NRS scores and quantity of analgesics between the gender groups and the age groups (20–45, 46–64, and ≥ 65 years old). Results: Compared to male patients, female patients had higher NRS scores (6 [5, 7] vs. 5 [4, 6]; P = 0.001) and required a higher dose of fentanyl (0.94 ± 0.47 µg/kg vs. 0.79 ± 0.41 µg/kg; P = 0.011) in the recovery room. The younger female patients (20–45 and 46–64 years old) required a higher dose of fentanyl than those older than 65 years of age in the recovery room. Conclusions: Female patients exhibit higher NRS scores and greater consumptions of analgesics than male patients immediately postoperatively. Younger female patients require more analgesics than elderly patients in the recovery room.

#Age #Gender #Laparoscopic cholecystectomy #Postoperative pain.

참고문헌 (20)

참고문헌 신청

Apfelbaum JL / 2003 / Postoperative pain experience : results from a national survey suggest postoperative pain continues to be undermanaged / Anesth Analg 97:534~540

Katz J / 2009 / Transition from acute to chronic postsurgical pain : risk factors and protective factors / Expert Rev Neurother 9:723~744

Kehlet H / 2006 / Persistent postsurgical pain : risk factors and prevention / Lancet 367:1618~1625

Fletcher D / 2008 / A patient-based national survey on postoperative pain management in France reveals significant achievements and persistent challenges / Pain 137:441~451

Ip HY / 2009 / Predictors of postoperative pain and analgesic consumption : a qualitative systematic review / Anesthesiology 111:657~677

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채경린

소속기관 동아대학교병원 마취통증의학과

주요연구분야 의약학 > 임상의학 > 마취과학

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