부인과 복강경 수술 대상자에서 Desflurane 마취와 Desfluraneremifentanil 병용마취 시 수술 후 통증과 오심·구토의 비교

Abstract

Purpose: The purpose of this study was to compare desflurane anesthesia with desflurane-remifentanil anesthesiaby measuring postoperative pain, nausea and vomiting after gynecologic laparoscopic surgery. Methods: Data werecollected using a random double blind method. The experimental group treated with desflurane-remifentanil anesthesiahad a total of 25 patients. The control group had 20 patients who were treated with desflurane anesthesia. Pain (VAS), pushing PCA button, nausea and vomiting (VAS) were assessed at PACU (Post Anesthesia Care Unit)arrival, 10 min, 20 min, 30 min in PACU and 2 hrs, 6 hrs, 24 hrs, 48 hrs in ward. INVR was assessed at 24 hrs. Extraanalgesics and extra antiemetics were measured in PACU and the ward. Data were analyzed using t-test and repeatedmeasure using ANOVA. Results: The experimental group presented with more postoperative pain (F=7.55,p<.001) than the control group. The experimental group took more extra analgesics in PACU and pressed the PCAbutton more often for 6 hours. The experimental group complained more postoperative nausea (F=2.11, p=.043)than the control group and took extra antiemetics during postoperative period of 24 hours. Conclusion: We concludethat desflurane-remifentanil anesthesia needs better management than desflurane anesthesia due to increasedpain, nausea & vomiting after gynecologic laparoscopic surgery.