Patient-controlled analgesia in orthognathic surgery: evaluation of the relationship to anxiety and anxiolytics

被引:17
作者
Geha, H. [1 ]
Nimeskern, N. [2 ]
Beziat, J. L. [3 ]
机构
[1] CHU Rouen, Serv Chirurg Maxillofaciale & Stomatol, Rouen, France
[2] Clin St Sauveur, Mulhouse, France
[3] Hop Croix Rousse, CHU Lyon Hop Nord, Serv Chirurg Maxillofaciale, F-69317 Lyon, France
来源
ORAL SURGERY ORAL MEDICINE ORAL PATHOLOGY ORAL RADIOLOGY AND ENDODONTOLOGY | 2009年 / 108卷 / 03期
关键词
POSTOPERATIVE PAIN; SATISFACTION;
D O I
10.1016/j.tripleo.2009.05.027
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Background. Although patient-controlled analgesia' (PCA) use has been reported in oral and maxillofacial surgery, 8 it has not been evaluated for use in orthognathic surgery. In this study, we evaluated the relationship between age, gender, and preoperative anxiety and postoperative morphine intake after orthognathic surgery in the PCA environment. Study design. Fifty-one patients (34 female, 17 male) underwent orthognathic surgery. Patients' anxiety was evaluated preoperatively. All patients received morphine-based postoperative PCA. Relationship between preoperative anxiety and postoperative visual analog scale (VAS) and 24 hour morphine intake was evaluated. Patients were randomly grouped according to whether preoperative oral anxiolytics were prescribed. Results. Age and VAS were correlated, as well as preoperative anxiety score and postoperative morphine intake (P < .05). Female patients receiving anxiolytics before surgery had less morphine consumption than those who did not. Conclusion. Preoperative anxiety directly influences postoperative PCA morphine intake. Anxiolytics preoperatively seem to reduce the need for postoperative analgesics. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: e33-e36)
引用
收藏
页码:E33 / E36
页数:4
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