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帕瑞昔布和塞来昔布在脊柱融合术后镇痛效果比较

毛克政 刘建恒 李鹏 肖波 王义国 徐教 毛克亚

解放军医学院学报Issue(3):237-239,3.
解放军医学院学报Issue(3):237-239,3.DOI:10.3969/j.issn.2095-5227.2013.03.015

帕瑞昔布和塞来昔布在脊柱融合术后镇痛效果比较

Analgesic effect of parecoxib sodiuml and celecoxib after lumbar fusion surgery

毛克政 1刘建恒 1李鹏 1肖波 1王义国 1徐教 1毛克亚1

作者信息

  • 1. 解放军总医院 骨科,北京 100853
  • 折叠

摘要

Abstract

Objective To compare analgesic effects of parecoxib sodiuml and celecoxib after lumbar fusion surgery. Methods One hundred and twenty patients after lumbar fusion surgery were randomly divided into parecoxib sodiuml treatment group(group A), celecoxib treatment group(group B) and control group(group C), 40 in each group. All patients were given drugs 1h before operation and 12 and 24 h after operation. Their visual analog score(VAS), morphine consumption and incidence of adverse effects were observed at 1, 6, 12 and 24 h after operation. Results The morphine consumption was less in group A than in groups B and C at 6, 12 and 24 h after operation(8.1 mg, 11.0 mg, 13.73 mg vs 11.4 mg, 18.2 mg, 25.28 mg vs 16.3 mg, 25.4 mg, 37.5 mg, P<0.05). The VAS score was lower in group A than in groups B and C at 1, 6 and 12 h after operation(5.4, 4.3, 3.5 vs 7.1, 5.2, 4.4 vs 7.3, 6.2, 4.7, P<0.05). The analgesic effects of parecoxib sodiuml and celecoxib were significantly different(P<0.05) while no significant difference was found in adverse effects among the 3 groups. Conclusion Parecoxib sodiuml given before operation is more effective to reduce postoperative morphine consumption and VAS score than celecoxib.

关键词

帕瑞昔布/塞来昔布/腰椎融合术/镇痛

Key words

parecoxib/celecoxib/lumbar spinal fusion/analgesia

分类

医药卫生

引用本文复制引用

毛克政,刘建恒,李鹏,肖波,王义国,徐教,毛克亚..帕瑞昔布和塞来昔布在脊柱融合术后镇痛效果比较[J].解放军医学院学报,2013,(3):237-239,3.

基金项目

国家自然科学基金项目(50830102) (50830102)

军队“十二五”科技计划(CWS11J110) (CWS11J110)

解放军医学院学报

OACSTPCD

2095-5227

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