Novosti
Khirurgii
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Year 2012 Vol. 20 No 3

ANESTHESIOLOGY-REANIMATOLOGY

M.Z. DUGIYEVA, S.V. SVIRIDOV, N.I. SLEPTSOVAS, K.V. MOROZOVA

CONTROLLED SUPERVISED BY THE PATIENT IN THE EARLY POSTOPERATIVE PERIOD AT GYNECOLOGIC PATIENTS

SBEE HPE Russian National Research Medical University named after N.I.Pirogov
The Russian Federation

Objectives. To carry out the efficiency estimation of patient-controlled analgesia (PCA) in the early postoperative period in patients after gynecological surgery.
Methods. Depending on the performed treatment the patients were divided into three groups. To relieve postoperative pain the method of patient-controlled analgesia with the infusion of morphine bolus doses was applied in all groups. While using the PCA method in 32 patients TsOG-1 inhibitor ketorol (group A) was additionally applied; in 36 patients TsOG-2 inhibitor parecoxib (group B) was used. The other 29 patients (control group) did not receive the preparations of nonsteroid anti-inflammatory agents. The visual analogue scale (VAS) of pain has been widely used and studied as a method of postoperative pain measurement in each of the allocated groups.
Results. The conducted research permits to state that the additional use of ketorol and parecoxib combined with PCA procedure with morphine provided an authentic decrease of the used morphine within the first 6 hours of PCA and in general for all circadian period of this technique application. At the same time difference of the used morphine quantity within singled out time intervals wasnt statistically significant (>0,05) between groups A and B. It means that ability of ketorol and parecoxib to reduce morphine requirements in patients during PCA procedure turns out to be almost identical.
Conclusions. Identical efficacy of ketorol and parecoxib in providing of total daily morphine dosage reduction during patient-controlled application has been confirmed.

Keywords: postoperative analgesia, postoperative pain, controlled analgesia, gynecological operations, ketorol, parecoxib
p. 94 99 of the original issue
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Address for correspondence:
117997, Rossiiskaia Federatsiia, g. Moskva, ul. Ostrovitianova, d. 1, GBOU VPO Rossiiskii natsional'nyi issledovatel'skii meditsinskii universitet imeni N. I. Pirogova, kafedra akusherstva i ginekologii 1,
e-mail: Morozovadk@mail.ru,
Morozova Kseniia Vladimirovna
Information about the authors:
Dugiyeva M.Z., Candidate of Medical Sciences, Associate Professor of the Chair of Obstetrics and Gynecology of the Medical Faculty of SBEE HPE "Russian National Research Medical University named after N.I. Pirogov Ministry of Health and Social Development of Russia.
Sviridov S.V., Doctor of Medical Sciences, Professor, Head of the Chair of Anesthesiology and Reanimation of the Medical Faculty of SBEE HPE "Russian National Research Medical University named after NI Pirogov, Health Ministry of Russia.
Sleptsova N.I., Candidate of Medical Sciences, Assistant of the Chair of Obstetrics and Gynecology of the Medical Faculty of SBEE HPE "Russian National Research Medical University named after N.I. Pirogov Ministry of Health and Social Development of Russia.
Morozova K.V., a Post-graduate Student of the Chair of Obstetrics and Gynecology of the Medical Faculty of SBEE HPE "Russian National Research Medical University named after N.I. Pirogov Ministry of Health and Social Development of Russia.
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