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Postoperative patient-controlled analgegia using intravenous pentazocine

机译：术后患者控制的镇痛药中使用静脉内腺嘌呤

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BACKGROUND: Pentazocine is one of the most popular analgesics for postoperative analgesia in Japan. For patient-controlled analgesia (PCA), however, opioid agonists are used commonly, and little information is available concerning PCA by pentazocine. We studied the effects of postoperative PCA using intravenous pentazocine. METHODS: Eighteen male patients who had undergone open reduction and internal fixation of fructure of extremities under general anesthesia received intravenous pentazocine via PCA. The procedure of PCA was as follows; continuous infusion set 1.5-2.5 mg x h(-1), size of bolus set 5-10 mg with 10-15 minutes lockout interval. We added droperidol for prevention of nausea and vomiting. RESULTS: Eleven patients (61.1%) recovered without using any other analgesics. However, seven patients needed other treatments. Six patients used suppository of diclofenac and the other one received pentazocine intramuscularly besides diclofenac. Four of seven patients received these additional analgesics without PCA bolus. No significant complications were observed except nausea in three patients, drowsiness in two and somnolence in one. CONCLUSIONS: Our program of PCA was safe and effective for postoperative analgesia. But the guidance for patients, surgeons and nursing staff is important using PCA therapy more effectively.
机译：背景：Pentazcine是日本术后镇痛最受欢迎的镇痛药之一。然而，对于患者受控镇痛（PCA），通常使用阿片类激动剂，并且少量信息通过预比鸟类提供PCA。我们研究了术后PCA使用静脉内腺癌的影响。方法：通过PCA接受静脉内血红素杂志，经历了一系列开放性降低和内部固定的十八名男性患者。 PCA的程序如下;连续输注套1.5-2.5 mg x H（-1），推注尺寸设置5-10毫克，锁定间隔10-15分钟。我们添加了滴注醇以防止恶心和呕吐。结果：11例患者（61.1％）在不使用任何其他镇痛药的情况下恢复。然而，7名患者需要其他治疗方法。六名患者使用双氯芬酸的栓剂，除双氯芬酸外，其他人肌内接受过五泽杂志。七名患者中的四种没有PCA推注的额外镇痛药。除了三名患者中的恶心，嗜睡中没有显着的并发症，两种和嗜睡中的嗜睡。结论：我们的PCA程序对术后镇痛安全有效。但患者，外科医生和护理人员的指导都很有效地使用PCA疗法。

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