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요추부 수술 후 경막외 무통방법과 지속적 정맥 주입에 의한 통증 조절의 효과 비교
DC Field | Value | Language |
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dc.contributor.author | 안정용 | - |
dc.date.accessioned | 2016-02-19T11:15:15Z | - |
dc.date.available | 2016-02-19T11:15:15Z | - |
dc.date.issued | 2001 | - |
dc.identifier.issn | 1225-8245 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/142736 | - |
dc.description.abstract | Objective:The purpose of this non-randomized prospective study was to evaluate the safety and efficacy of continuous intravenous nalbuphine-ketorolac-droperidol(CIA) versus continuous infusion of epidural morphine-bupivacaine(CEA) for pain control after lumbar spinal surgery. Methods:Twenty-one patients who underwent spine surgery including laminectomy, fusion with fixation were assigned to receive an intravenous bolus of nalbuphine 5mg and ketorolac 15mg, followed by a continuous infusion of nalbuphine 25mg, ketorolac 105mg, and droperidol 5mg mixed with normal saline 98cc(2cc/hr). Twenty patients received a bolus infusion of morphine 2mg and 0.125% bupivacaine 8cc followed by a continuous intravenous infusion of 100cc 0.125% bupivacaine and morphine sulfate 8.0mg(2cc/hr). Pain score was measured on a visual analogue scale(VAS). It's safety and efficacies were compared with the results of continuous infusion of epidural morphine-bupivacaine, which was reported previously by same authors. A continuous infuser was used to give epidural morphine-bupivacaine and intravenous nalbuphine-ketorolac-droperidol. Results:In general, mild pain, pain less than 3 VAS scores, was observed postoperatively from 30minutes to 72hours in CEA group, and from 6 hours to 72 hours in CIA group. The early postoperative pain was controlled easily in 6 hours in CEA group, compared to CIA group(p<0.05). However, there was no statistical significance in 72 hours on pain scores between CEA and CIA groups after 6-12hours of pain managements. Pruritus, nausea and vomiting, and urinary retention were more frequent in CEA group. Conclusion:CIA and CEA are considered effective methods in postoperative pain managements. However, adequate doses in early intravenous infusion and continuous intravenous analgesia with nalbuphine-ketorolac-droperidol will be needed for better control in early postoperative pain with less side effects. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 1394~1398 | - |
dc.relation.isPartOf | Journal of Korean Neurosurgical Society (대한신경외과학회지) | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 요추부 수술 후 경막외 무통방법과 지속적 정맥 주입에 의한 통증 조절의 효과 비교 | - |
dc.title.alternative | Effects of continuous intravenous analgesia versus epidural analgesia after lumbar spinal surgery: a prospective study. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학) | - |
dc.contributor.googleauthor | 오규성 | - |
dc.contributor.googleauthor | 신문수 | - |
dc.contributor.googleauthor | 길현주 | - |
dc.contributor.googleauthor | 허륭 | - |
dc.contributor.googleauthor | 최훈규 | - |
dc.contributor.googleauthor | 안정용 | - |
dc.contributor.googleauthor | 권성오 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A02260 | - |
dc.relation.journalcode | J01521 | - |
dc.subject.keyword | Epidural anesthesia | - |
dc.subject.keyword | Intravenous anesthesia | - |
dc.subject.keyword | Nalbuphine·Ketorolac | - |
dc.subject.keyword | Droperidol | - |
dc.subject.keyword | Lumbar spinal surgery | - |
dc.contributor.alternativeName | Ahn, Jung Yong | - |
dc.contributor.affiliatedAuthor | Ahn, Jung Yong | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 30 | - |
dc.citation.number | 12 | - |
dc.citation.startPage | 1394 | - |
dc.citation.endPage | 1398 | - |
dc.identifier.bibliographicCitation | Journal of Korean Neurosurgical Society (대한신경외과학회지), Vol.30(12) : 1394-1398, 2001 | - |
dc.identifier.rimsid | 29809 | - |
dc.type.rims | ART | - |
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