Application of parecoxib in post-uvulopalatopharyngoplasty analgesia.
OBJECTIVE
To investigate the postoperative analgesic effects of parecoxib for uvulopalatopharyngoplasty (UPPP).


METHODS
Patients with obstructive sleep apnoea syndrome who underwent UPPP were randomly divided into two groups. In group A, the incision-local block was performed with 5 ml of 0.5% ropivacaine injected subcutaneously before the end of surgery, then 20 ml of physiological saline was injected intravenously every 12 h for 2 days. In group B, in addition to the incision-local block, 40 mg parecoxib was injected intravenously 30 min before the end of UPPP and 40 mg parecoxib was injected intravenously every 12 h for 2 days. Postoperative pain was measured using a visual analogue scale (VAS). Adverse reactions were recorded.


RESULTS
A total of 40 patients were randomized (n = 20 per group). Under resting conditions, the mean ± SD VAS pain scores were significantly higher in group A compared with group B at 24 h and 48 h after UPPP (24 h 4.0 ± 0.8 versus 2.6 ± 0.6; 48 h 3.8 ± 0.7 versus 2.4 ± 0.5; respectively). Under swallowing conditions, the mean ± SD VAS pain scores were significantly higher in group A compared with group B at 8 h, 24 h and 48 h after UPPP. Postoperative adverse reactions were similar in the two groups.


CONCLUSIONS
Intravenous parecoxib combined with incision-local ropivacaine provided effective postoperative analgesia for patients with obstructive sleep apnoea syndrome, undergoing UPPP.
Department of Anaesthesiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province, China.
Guang-Lun
GL
Xie
Qin-Jun
QJ
Chu
Chun-Lan
CL
Liu
D000328:Adult; D000577:Amides; D000772:Anesthesia, Local; D000779:Anesthetics, Local; D052246:Cyclooxygenase 2 Inhibitors; D004334:Drug Administration Schedule; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D007555:Isoxazoles; D008297:Male; D008875:Middle Aged; D059408:Pain Management / Q000379:methods; D010147:Pain Measurement; D010149:Postoperative Pain / Q000517:prevention & control; D010160:Palate, Soft / Q000503:physiopathology / Q000601:surgery*; D000077212:Ropivacaine; D020181:Sleep Apnea, Obstructive / Q000503:physiopathology / Q000601:surgery*
D000577:Amides; D000779:Anesthetics, Local; D052246:Cyclooxygenase 2 Inhibitors; D007555:Isoxazoles; D000077212:Ropivacaine; C409945:parecoxib
Uvulopalatopharyngoplasty; analgesia; obstructive sleep apnoea syndrome; parecoxib