Thực trạng dùng thuốc giảm đau sau phẫu thuật

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Tác giả: Đặng Minh Trí Bùi, Tùng Hiệp Bùi, Văn Mãi Đỗ, Nhật Anh Trần

Ngôn ngữ: Vie

Ký hiệu phân loại: 615 Pharmacology and therapeutics

Thông tin xuất bản: Y học cộng đồng 2021

Mô tả vật lý: 65-70

Bộ sưu tập: Metadata

ID: 393331

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Mô tả thực trạng sử dụng thuốc giảm đau điều trị sau phẫu thuật tại khoa Ngoại Tổng quát của Bệnh viện Đa khoa Cái Nước.Nghiên cứu mô tả cắt ngang trên 172 bệnh nhân (BN) được phẫu thuật tại khoa Ngoại Tổng quát, Bệnh viện Đa khoa Cái Nước.Chủ yếu sử dụng thuốc paracetamol để giảm đau, chiếm tỷ lệ 98,98%. Đối với thuốc giảm đau ngoài màng cứng (levobupivacain và fentanyl), tỷ lệ sử dụng giảm rõ rệt khi so sánh nhóm 1 với nhóm 2. Sự khác biệt này có ý nghĩa thống kê (p <
0,05). Các bệnh nhân nghiên cứu ở cả 2 nhóm sử dụng thuốc số lượng thuốc trung bình để giảm đau sau phẫu thuật là 3,3 ± 1,2 loại. Nhóm 1 có bệnh nhân sử dụng số lượng thuốc phối hợp chủ yếu để giảm đau sau phẫu thuật là tê ngoài màng cứng (Levobupivacain, fentanyl) + Ketorolac + Paracetamol với tỷ lệ là 48,81 %. Nhóm 2 có bệnh nhân sử dụng phối hợp thuốc chủ yếu để giảm đau sau phẫu thuật là Morphin + Ketorolac + Paracetamol với tỷ lệ là 40,91%.Paracetamol là thuốc giảm đau chủ yếu. Số lượng thuốc trung bình để giảm đau sau phẫu thuật là 3,3 ± 1,2 loại. Bệnh nhân nhóm 1 sử dụng thuốc phối hợp chủ yếu là tê ngoài màng cứng (Levobupivacain, fentanyl) + Ketorolac + Paracetamol. Bệnh nhân nhóm 2 sử dụng phối hợp thuốc chủ yếu là Morphin + Ketorolac + Paracetamol., Tóm tắt tiếng anh, To describe the current situation of post-operation painkillers use at the general surgery department of Cai Nuoc General Hospital.Cross-sectional descriptive study on 172 patients undergoing surgery at General Surgery Department, Cai Nuoc General Hospital.Mainly using paracetamol for pain relief, accounting for 98.98%. For epidural painkillers (levobupivacaine and fentanyl), the rate of use decreased significantly when comparing group 1 with group 2. This difference was statistically significant (p <
0.05). The average number of drugs studied by patients in both groups for post-operative painkillers was 3.3 ± 1.2 types. Group 1 had patients using the main combination of drugs for post-operative painkillers was epidural (Levobupivacaine, fentanyl) + Ketorolac + Paracetamol with the rate of 48.81%. Group 2 had patients using a combination of drugs mainly to relieve pain after surgery was Morphin + Ketorolac + Paracetamol with the rate of 40.91%.Paracetamol was the primary painkillers. The average number of drugs for post-operative painkillers was 3.3 ± 1.2 types. Group 1 patients using the combination drug was epidural mainly (Levobupivacaine, fentanyl) + Ketorolac + Paracetamol. Group 2 patients using the combination of drugs was Morphin + Ketorolac + Paracetamol, mainly.

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