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目的观察口服氨酚氢可酮与曲马多在治疗妇科腹腔镜手术病人术后早期疼痛的效果和不良反应.方法60例术后VAS评分大于3分符合入选标准的行妇科腹腔镜手术病人,随机分为2组,分别给予氨酚氢可酮或曲马多口服.观察并记录服药即刻、服药后0.5、0.75、1、2、4、6h的VAS评分以及不良反应.结果氨酚氢可酮组和曲马多组VAS评分相近.氨酚氢可酮组恶心呕吐发生率低于曲马多组.结论氨酚氢可酮缓解妇科腹腔镜术后早期疼痛效果与曲马多相似。它用于妇科腹腔镜术后镇痛是安全有效的.
Objective To observe the efficacy and adverse reactions of oral catecholam hydrocodone and tramadol in the treatment of early postoperative pain in gynecological laparoscopic patients.Methods Sixty patients with postoperative VAS scores greater than 3 were eligible for gynecological laparoscopic surgery, Randomly divided into two groups, respectively, given hydrocortisone or tramadol orally.Observed and recorded immediately after taking the medication, 0.5,0.75,1,2,4,6 h VAS score and adverse reactions.Results Arcanophan can be Ketamine group and tramadol group had similar VAS score.The incidence of nausea and vomiting in metoprolol hydrocodone group was lower than that in tramadol group.Conclusion The analgesic effect of hydrocodone hydrochloride is similar to that of tramadol in gynecological laparoscopic surgery. It is safe and effective for analgesia after gynecological laparoscopic surgery.