치과 수술후의 통증 관리: Myprodol 대 Ibuprofen 대 Codeine

Pain Control after Dental Surgery: Myprodol Versus Ibuprofen Versus Codeine

  • 한태형 (성균관대학교 의과대학 삼성서울병원 통증관리센터) ;
  • 신병섭 (성균관대학교 의과대학 삼성서울병원 통증관리센터) ;
  • 김정혜 (성균관대학교 의과대학 삼성서울병원 치과진료부)
  • Han, Tae-Hyung (SungKyunKwan University, College of Medicine, Samsung Medical Center, Pain Management Center) ;
  • Shin, Byung-Seop (SungKyunKwan University, College of Medicine, Samsung Medical Center, Pain Management Center) ;
  • Kim, Jeong-Hye (SungKyunKwan University, College of Medicine, Samsung Medical Center, Institute of Oral Health Science)
  • 발행 : 1998.05.30

초록

Background: Myprodol, a newly introduced combination analgesics with codeine, ibuprofen and paracetamol was evaluated in the dental surgery patients for its efficacy and side effects. Methods: Total 60 ASA I or II outpatients dental surgical patients were randomly assigned into three groups(n=20 each). After various oral procedures, one of three oral analgesics, myprodol, ibuprofen or codeine, was prescribed to each patients in double blind fashion for three days. Each patient was followed carefully by daily phone calls for verbal analog pain scale, side effects and patient's satisfaction level. Results: Demographic data and duration of surgery revealed no statistical differences in all three groups. Myprodol group showed better verbal analgesic scores consistently for the study period than ibuprofen or codeine group. Adverse effects were minimal. Patients' satisfaction level was high in all three groups. Conclusion: We conclude that myprodol is an excellent oral analgesic for day-surgery based dental procedure patients. This effect appears to be synergistic among different analgesics rather than additive.

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