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Influences of Gender on Postoperative Morphine Consumption

机译:性别对术后吗啡消耗的影响

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Background: Gender related differences on morphine consumption during postoperative period following abdominal surgeries.Materials and Methods: Four hundred and fifty ASA I & II patients of either sex (male =239, female = 231), between the age group of 18-65 y undergoing elective intra abdominal surgeries under general anaesthesia were included for the study. Patients with preexisting pain either acute or chronic preoperatively were excluded from the study. Anaesthesia and analgesia protocol during surgery was standardized. Postoperatively, a loading dose was given to achieve the visual analogue scale (VAS) of = 30 and subjects were connected to patient control analgesia (PCA) pump containing 0.4 mg/ml of morphine configured to deliver a bolus dose (1 mg) with a 5 min lock-out period. The total analgesic requirements along with VAS (visual analog scale) score were analysed between males and females in the first 24 h postoperatively. All demographic data and between group comparisons were analysed with student t-test. Within group comparisons were done by using one-way-ANOVA test and Tukey?s Honestly significant Difference test.Results: During the first 24 h, males consumed significantly higher amount of morphine (34.35 ± 6.68 mg) when compared to females (26.78 ± 7.14 mg), p < 0.001.Conclusion: We conclude that men require more morphine in the postoperative period than women
机译:背景:腹部手术后术后吗啡消耗量的性别差异。材料与方法:年龄在18岁至65岁之间的450名ASA I和II型患者(男= 239,女= 231)。该研究包括在全身麻醉下进行选择性腹腔内手术的患者。本研究排除了术前患有急性或慢性疼痛的患者。手术期间的麻醉和镇痛方案已标准化。术后给予负荷剂量,以达到视觉模拟评分(VAS)= 30,并将受试者连接至患者对照镇痛(PCA)泵,该泵包含0.4 mg / ml吗啡,其配置为可推注剂量(1 mg), 5分钟锁定期。术后头24小时对男性和女性的总镇痛要求以及VAS(视觉模拟评分)评分进行了分析。所有的人口统计学数据以及组间比较均采用学生t检验进行了分析。组内比较采用单向ANOVA试验和Tukey的诚实显着性差异试验。结果:在头24小时内,雄性消耗的吗啡(34.35±6.68 mg)明显高于雌性(26.78±)。 7.14 mg),p <0.001。结论:我们得出结论,男性在术后需要比女性更多的吗啡

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