The Korean Journal of Pain

  • 제12권2호
  • /
  • Pages.211-216
  • /
  • 1999
  • /
  • 2005-9159(pISSN)
  • /
  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
권호 표지

Fentanyl 첩포를 이용한 제왕절개술후 통증 조절

Postoperative Pain Control after Cesarean Section with Transdermal Fentanyl Patch

  • 이종철 (인하대학교 의과대학 마취과학교실) ;
  • 김태정 (인하대학교 의과대학 마취과학교실) ;
  • 한정욱 (인하대학교 의과대학 마취과학교실) ;
  • 임현경 (인하대학교 의과대학 마취과학교실) ;
  • 송장호 (인하대학교 의과대학 마취과학교실) ;
  • 이홍식 (인하대학교 의과대학 마취과학교실) ;
  • 차영덕 (인하대학교 의과대학 마취과학교실) ;
  • 박동호 (인하대학교 의과대학 마취과학교실) ;
  • 이성근 (인하대학교 의과대학 마취과학교실)
  • Lee, Jong-Cheol (Department of Anesthesiology, College of Medicine, Inha University) ;
  • Kim, Tae-Jung (Department of Anesthesiology, College of Medicine, Inha University) ;
  • Han, Jeong-Uk (Department of Anesthesiology, College of Medicine, Inha University) ;
  • Lim, Hyun-Kyoung (Department of Anesthesiology, College of Medicine, Inha University) ;
  • Song, Jang-Ho (Department of Anesthesiology, College of Medicine, Inha University) ;
  • Lee, Hong-Sik (Department of Anesthesiology, College of Medicine, Inha University) ;
  • Cha, Young-Deog (Department of Anesthesiology, College of Medicine, Inha University) ;
  • Park, Dong-Ho (Department of Anesthesiology, College of Medicine, Inha University) ;
  • Lee, Sung-Keun (Department of Anesthesiology, College of Medicine, Inha University)
  • 발행 : 1999.11.30
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초록

Background: Transdermal fentanyl patch (TDFP) is a simple, noninvasive analgesic with continuous effect. The aim of this study was to evaluate the postoperative analgesic effect of TDFP. Methods: Sixty healthy patients undergoing cesarean section were divided into 3 groups. Postoperative pain was controlled with different methods; Group I: application of TDFP-$25{\mu}g/hr$, Group II: intramuscular injection of ketoprofen; Group III: continuous epidural block. Pain scores (numerical rating scale, NRS), number of patients who needed additive ketoprofen injections and side effects were recorded at 8, 20, 32, 44 hours postoperatively. Results: There was no significanant difference in pain score between Group I and Group II. The numbers of patients who need additive ketoprofen injections were lower in group I than group II. Pruritis (25%), nausea/vomiting (10%), leg numbness (40%) was experienced in group III, but not in Group I & II. Conclusions: TDFP-$25{\mu}g/hr$ for postoperative pain control is simpler and more convinient than intramuscular injection of analgesics.

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