전자궁적출술후 통증자가조절장치 사용에 따른 통증점수 비교

Background: The purpose of this study was to examine the extent and evaluation of pain after total abdominal hysterectomy (TAH) and to establish correlation between three types of pain; pain at rest, pain with movement and pain with coughing (maximum pain). Methods: The present study compared qualit...

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Veröffentlicht in:The Korean journal of pain 1998, Vol.11 (2), p.253-257
Hauptverfasser: 이정구, Jung Koo Lee, 박 석, Seok Park, 정정길, Jung
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container_end_page 257
container_issue 2
container_start_page 253
container_title The Korean journal of pain
container_volume 11
creator 이정구
Jung Koo Lee
박 석
Seok Park
정정길
Jung
description Background: The purpose of this study was to examine the extent and evaluation of pain after total abdominal hysterectomy (TAH) and to establish correlation between three types of pain; pain at rest, pain with movement and pain with coughing (maximum pain). Methods: The present study compared quality of pain during pain management in 48 patients under- going TAH. Patients received i.v. meperidine as loading dose in the recovery room and PCA with nalbuphine 90 mg, ketorolac 180 mg, buprenorphine 0.9 mg, droperidol 5 mg, plasma solution A 28 ml for 3 days. The PCA device used was the Baxter infusor (PCA module PC-19-55, 0.5 ml/hr basal rate, 15 minute lockout interval). Patients were then interviewed on Operative Day (OPD), Postoperative Day 1, 2, and 3 (POD 1, 2 and 3) to assess their pain on a visual analogue scale (VAS) of 0 (none) to 10 (worst imaginable). Results: The mean pain score at rest was 2.0 on OPD and decreased to 0.7 on POD 3. The mean pain score with movement was 3.2 on OPD and decreased to 1.6 on POD 3. The mean pain score with coughing was 4.2 on OPD and 4ecreased to 2.2 on POD 3. Conclusions: Patients experience of three types of postoperative pain emphasizes the need for more effective pain management.
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title 전자궁적출술후 통증자가조절장치 사용에 따른 통증점수 비교
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