Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Intravenous Remifentanil Infusion during EVLT for Varicose Vein

하지 정맥류에 대한 정맥내 레이저 치료시 레미펜타닐의 사용

  • Hwang, Seong-Wook (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chung-Ang University) ;
  • Sohn, Dong-Suep (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chung-Ang University) ;
  • Cho, Dai-Yun (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chung-Ang University)
  • 황성욱 (중앙대학교 의과대학 흉부외과학교실) ;
  • 손동섭 (중앙대학교 의과대학 흉부외과학교실) ;
  • 조대윤 (중앙대학교 의과대학 흉부외과학교실)
  • Published : 2008.04.05
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Abstract

Background: We compared the analgesic effects of an intravenous infusion of remifentanil with local lidocaine injection during endovenous laser treatments (EVLT) for varicose veins. Material and Method: In order to compare the efficacy of analgesia between the lidocaine group (n=15) and the remifentanil group (n=15), we measure the pain intensity of the patients, with using the visual analogue scale, during EVLT and at the first week, the second week, the third week and the fourth week after EVLT. Result: The remifentanil group showed significantly less pain intensity during EVLT (p<0.01), but there were no differences of pain intensity between the two groups from the first week to the fourth week after EVLT (p>0.3). Conclusion: The result showed that the intravenous infusion of remifentanil during EVLT can be a good option to reduce pain during EVLT for treating varicose veins.

배경: 본 연구에서는 하지정맥류 정맥내 레이저 치료 시 통증 경감을 위해 사용하는 국소적 리도카인의 효과와 정맥주업용 레미펜타닐의 효과를 비교하였다. 대상 및 방법: 리도카인 군 (n=15)과 레미펜타닐 군 (n=15)간에 진통 효과의 유용성을 비교하기 위하여 통증의 강도를 visual analogue scale을 사용하여 수술 중과 수술 후 1주에서 4주까지 1주 간격으로 측정하여 비교하였다. 결과: 수술 중에는 레미펜타닐을 사용한 군에서 리도카인 군에 비해 유의한 수준의 통증 경감이 있었으며(p<0.01), 수술 후 1주에서 4주 사이에는 양군이 통증의 차이를 보이지 않았다(p>0.3). 결론: 이상의 결과는 하지 정맥류 레이저 치료 시 통증 경감을 위해 레미펜타닐의 정맥 주입이 좋은 방법이 될 수 있음을 보여주었다.

Keywords

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