Mohaghegh Taherh, Yazdi Bijan, Norouzi Afsaneh, Fateh Shahin, Modir Hesameddin, Mohammadbeigi Abolfazl
Department of Anesthesiology and Critical Care, Arak University of Medical Sciences, Arak, Iran.
Department of surgery, Arak University of Medical Sciences, Arak, Iran.
Med Gas Res. 2017 Jun 30;7(2):86-92. doi: 10.4103/2045-9912.208511. eCollection 2017 Apr-Jun.
Postoperative pain is a common problem after inguinal herniotomy. We aimed to compare the intravenous anesthesia effects of propofol and isoflurane inhalation anesthesia on postoperative pain after inguinal herniotomy. In a randomized clinical trial, 102 eligible patients were selected based on inclusion and exclusion criteria and were randomly divided in two groups. In the first group, propofol was used for the maintenance of anesthesia, while isoflurane was used in the second group. The patient's heart rate, systolic and diastolic blood pressure and oxygen saturation before, during and after surgery, recovery time and postoperative pain were measured immediately, 2, 4 and 6 hours after surgery and compared between two groups. -test, and repeated measurement test were used for statistical analysis. No statistically significant differences were observed in heart rate, blood pressure and oxygen saturation levels between the two groups ( > 0.05). Propofol has higher effect in easing postoperative pain of patients than isoflurane, but no difference in postoperative complications, including chills, nausea and vomiting, occurs in both two groups. Propofol is effective in declining the postoperative pain of patients after anesthesia in comparison with isoflurane. Moreover, due to the antioxidant, anti-inflammatory and analgesic properties of propofol, it is preferred to isoflurane and the authors recommended it to be used.
腹股沟疝修补术后疼痛是一个常见问题。我们旨在比较丙泊酚静脉麻醉与异氟烷吸入麻醉对腹股沟疝修补术后疼痛的影响。在一项随机临床试验中,根据纳入和排除标准选取了102例符合条件的患者,并将其随机分为两组。第一组使用丙泊酚维持麻醉,第二组使用异氟烷。在手术前、手术期间和手术后即刻、术后2小时、4小时和6小时测量患者的心率、收缩压和舒张压以及血氧饱和度,记录恢复时间和术后疼痛情况,并在两组之间进行比较。采用t检验和重复测量检验进行统计分析。两组之间在心率、血压和血氧饱和度水平方面未观察到统计学显著差异(P>0.05)。丙泊酚在缓解患者术后疼痛方面比异氟烷效果更好,但两组在术后并发症(包括寒战、恶心和呕吐)方面无差异。与异氟烷相比,丙泊酚在麻醉后降低患者术后疼痛方面有效。此外,由于丙泊酚具有抗氧化、抗炎和镇痛特性,它比异氟烷更具优势,作者推荐使用丙泊酚。