IBUPROFEN IN THE TREATMENT OF POSTOPERATIVE PAIN IN SMALL CHILDREN - A RANDOMIZED DOUBLE-BLIND-PLACEBO CONTROLLED PARALLEL-GROUP STUDY

被引:30
作者
KOKKI, H
HENDOLIN, H
MAUNUKSELA, EL
VAINIO, J
NUUTINEN, L
机构
[1] KUOPIO UNIV HOSP,DEPT SURG,SF-70210 KUOPIO,FINLAND
[2] UNIV HELSINKI,CENT HOSP,DEPT OPHTHALMOL,HELSINKI,FINLAND
关键词
ANESTHESIA; IBUPROFEN; PEDIATRIC; POSTOPERATIVE PAIN; PREEMPTIVE ANALGESIA;
D O I
10.1111/j.1399-6576.1994.tb03931.x
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The efficacy of ibuprofen as a pre-emptive analgesic for postoperative pain was investigated in 81 children in the age between one and four years subjected to elective surgery. The patients were randomized into two groups receiving rectally either ibuprofen 40 mg.kg(-1).d(-1), divided into four equal doses, or placebo in a double blind manner. Additional pain relief was provided by morphine. In the recovery room ibuprofen provided superior pain relief during the first hour and significantly reduced the need of morphine. Heart rate and arterial blood pressure were lower in children who received ibuprofen, probably reflecting better analgesia. The side effects were mild and similar in both groups. We conclude that rectal ibuprofen is a safe analgesic in children in the age between 1 and 4 years and reduces the need of opioids for postoperative pain relief.
引用
收藏
页码:467 / 472
页数:6
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