악교정 수술후 근주와 자가통증조절장치(PCA)의 제통효과 비교

• 영문명: A COMPARISON OF PATIENT-CONTROLLED ANALGESIA (PCA) AND INTRAMUSCULAR ANALGESIA AFTER ORTHOGNATHIC SURGERY
• 발행기관: 대한구강악안면외과학회
• 저자명: 박미화(Mi-Hwa Park) 김재현(Jae-Hyun Kim) 백상흠(Sang-Heum Baek) 차두원(Duwon Cha) 이상한(Sang-Han Lee)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제31권 제3호, 260~265쪽, 전체 6쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2005.06.30

영문 초록

Patient-controlled analgesia (PCA) has been widely used for postoperative pain control in medical surgery parts. Conventional intramuscular analgesia(IMA) is also effective in postoperative pain control, but it has some disadvantages that depend on patients’perception of pain and the anxiety that they endure caused by the delay of the injection time. This study was conducted to assess the efficacy and postoperative outcomes of intravenous PCA compared to IMA injections in 36 patients (BSSRO). Three factors were compared: amount of pain in PCA and IMA group ; amount of pain according to the sex in PCA and IMA group and the amount of pain according to the analgesia use. Results of this study did not demonstrate a statistically significant difference in any of these, using a p value of 0.05. The results of this study were as follows. : 1. There was no statistically significant difference in VAS pain score between IMA group and PCA group. 2. There was no statistically significant difference according to the sex. 3. There was no statistically significant difference according to the amount of PCA. The history of PCA is about 30 years and many literatures have reported about its effects, complications, methods, advantages and disadvantages. So, this study has some limitations of small sample size to conclude the effects of PCA. But when the decision about the method for postoperative pain control has to be made, it should be made based on patient or physician preference and cost factors rather than on the trend.

키워드

Patient-controlled analgesia(PCA) VAS pain score Orthognathic surgery