The Korean Journal of Pain

  • 제20권2호
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  • Pages.169-173
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  • 2007
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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전자궁 적출술 후 자가통증조절장치를 이용하여 정맥과 경막외로 투여된 Alfentanil의 진통효과 비교

Patient Controlled Analgesia of Alfentanil after a Total Abdominal Hysterectomy: A Comparison of the Intravenous and Epidural Route

  • 최수경 (을지대학교 의과대학 마취과학교실) ;
  • 윤석화 (충남대학교 의과대학 마취통증의학교실) ;
  • 이준화 (충남대학교 의과대학 마취통증의학교실) ;
  • 황재하 (충남대학교 의과대학 마취통증의학교실) ;
  • 정우석 (충남대학교 의과대학 마취통증의학교실) ;
  • 김윤희 (충남대학교 의과대학 마취통증의학교실) ;
  • 이원형 (충남대학교 의과대학 마취통증의학교실)
  • Choi, Soo Kyeong (Department of Anesthesia and Pain Medicine, Eulji Hospital, College of Medicine, Eulji University) ;
  • Yoon, Seok Hwa (Department of Anesthesia and Pain Medicine, College of Medicine, Chungnam National University) ;
  • Lee, Jun Hwa (Department of Anesthesia and Pain Medicine, College of Medicine, Chungnam National University) ;
  • Hwang, Jae Ha (Department of Anesthesia and Pain Medicine, College of Medicine, Chungnam National University) ;
  • Jung, Woo Suk (Department of Anesthesia and Pain Medicine, College of Medicine, Chungnam National University) ;
  • Kim, Yoon Hee (Department of Anesthesia and Pain Medicine, College of Medicine, Chungnam National University) ;
  • Lee, Won Hyung (Department of Anesthesia and Pain Medicine, College of Medicine, Chungnam National University)
  • 투고 : 2007.07.15
  • 심사 : 2007.10.19
  • 발행 : 2007.12.10
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초록

Background: Although the use of intravenous patient controlled analgesia (IVPCA) has been compared to the use of patient conrolled epidural analgesia (PCEA), there is no optimal administration route of alfentanil for the treatment of postoperative pain. This randomized double-blind study compared the efficacy of the use of IVPCA and PCEA for postoperative pain and the side effects after a total abdominal hysterectomy (TAH). Methods: Sixty patients undergoing a TAH were randomly assigned to receive either IVPCA (Group I) or PCEA (Group E) for the infusion of alfentanil for postoperative pain control. In both groups, a loading dose of $750{\mu}g$ alfentanil was administered. All patients received the same continuous infusion rate (0.3 mg/h), bolus dose (0.15 mg), and lockout time (15 min). The incidence of side effects, the VAS (visual analog scale) of pain, blood pressure, and heart rate were checked for 20 hours after the loading dose injection. Results: The VAS of pain was not significantly different between the two groups of patients. The onset of the analgesic effect was significantly more rapid in the Group I patients than in the Group E patients. There was no difference in side effects for either group. Conclusions: When considering multiple factors such as the onset of analgesia, technical difficulties or infection after the procedure, IVPCA using alfentanil is more useful than PCEA for postoperative pain control after a TAH.

키워드

참고문헌

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