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KMID : 0363119930060010055
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Korean Journal of Pain
1993 Volume.6 No. 1 p.55 ~ p.59
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A Comparison of Patient-Controlled Analgesia and Conventional Intramuscular Opioid Regimen in Relation to their Post-Operative Pain Control and Side Effects
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이상훈
이진경/이규창/우남식/이예철
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Abstract
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Using a visual analogus scale, we compare the effect of patient-controlled analgesia and conventional intramuscular opioid regimen in 68 patients undergoing lower abdominal or gynecological surgery. We also recorded the incidence of side effects.
We
checked visual analogue scale 4 hours interval for 30 cases managed by patient-controlled analgesia and 38 cases of conventional intramuscular opioid group managed by patient-controlled analgesia and 38 cases of conventional intramuscular opioid
group
managed by obstetrician. We maintained fentanyl 0.33㎍/kg/hr and set self administrable bolus dose 5.0㎍(lockout interval: 15 min) in patientcontrolled analgesia group. Conventional intramuscular bolus injection group were administered meperidine
50 mg
for 4 hour interval.
Mean visual analogue scale socres obtained by patient-controlled analgesia group and intrameuscular bolus injection group were 2.49±0.67 and 4.53±1.28 (p<0.05). Side effects such as; no significant incidence of respiratory depression, urinary
retention, postural hypotension, nausea. vomiting and pruritus were developed by either groups.
These results suggest that patient-controlled analgesia was more effective method compared with conventional intraumuscular opioid injection regimen for post-operative pain management.
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