PDF(Pubmed)
Abstract：
BACKGROUND: In this study, we investigate the effects of smoking on pain scores, vital signs, and analgesic consumption in the intraoperative and postoperative period in patients undergoing tympanomastoidectomy surgery.
METHODS: A total of 100 patients with American Society of Anesthesiologists I-II status, aged 18-55 years, and who were planned to undergo tympanomastoidectomy surgery were divided into two groups: smokers (Group 1) and non-smokers (Group 2). The patients were compared for preoperative, intraoperative, and 24-hour postoperative carboxyhemoglobin, blood pressure, oxygen saturation, respiratory rate, heart rate, pain intensity and verbal numerical rating scales, the extent of patient-controlled tramadol dose, nausea, and vomiting.
RESULTS: There were 50 individuals in each group. Postoperative analgesic consumption and pain scores were higher in Group 1, and the first postoperative pain was felt earlier. Furthermore, in Group 1, preoperative carboxyhemoglobin levels and postoperative nausea were statistically higher before, after, and at the tenth minute after induction, whereas oxygen saturation was lower. The two groups had no statistical difference regarding intraoperative and postoperative vital signs. Postoperative analgesic consumption was not affected by age or gender.
CONCLUSIONS: Smoking changes postoperative pain management, especially for this kind of operation, and these patients feel more pain and need more postoperative analgesic doses. Therefore, effective postoperative pain control should take account of smoking behavior, and analgesic doses may need to be adjusted for patients who smoke.
METHODS: A total of 100 patients with American Society of Anesthesiologists I-II status, aged 18-55 years, and who were planned to undergo tympanomastoidectomy surgery were divided into two groups: smokers (Group 1) and non-smokers (Group 2). The patients were compared for preoperative, intraoperative, and 24-hour postoperative carboxyhemoglobin, blood pressure, oxygen saturation, respiratory rate, heart rate, pain intensity and verbal numerical rating scales, the extent of patient-controlled tramadol dose, nausea, and vomiting.
RESULTS: There were 50 individuals in each group. Postoperative analgesic consumption and pain scores were higher in Group 1, and the first postoperative pain was felt earlier. Furthermore, in Group 1, preoperative carboxyhemoglobin levels and postoperative nausea were statistically higher before, after, and at the tenth minute after induction, whereas oxygen saturation was lower. The two groups had no statistical difference regarding intraoperative and postoperative vital signs. Postoperative analgesic consumption was not affected by age or gender.
CONCLUSIONS: Smoking changes postoperative pain management, especially for this kind of operation, and these patients feel more pain and need more postoperative analgesic doses. Therefore, effective postoperative pain control should take account of smoking behavior, and analgesic doses may need to be adjusted for patients who smoke.
摘要：
背景：在这项研究中，我们调查吸烟对疼痛评分的影响，生命体征,和镇痛消耗在术中和术后期间的患者进行鼓膜切除术。
方法：共100名具有美国麻醉医师协会I-II状态的患者，18-55岁,计划接受鼓膜乳突切除术的患者分为两组:吸烟者(第1组)和非吸烟者(第2组).术前比较患者，术中,术后24小时碳氧血红蛋白，血压,氧饱和度,呼吸频率,心率,疼痛强度和言语数字评定量表，患者控制的曲马多剂量的程度，恶心,和呕吐。
结果：每组50人。第1组术后镇痛剂用量和疼痛评分较高，术后首次疼痛感觉较早。此外，在第1组中，术前碳氧血红蛋白水平和术后恶心在统计学上较高，之后,在感应后的第十分钟，而氧饱和度较低。两组术中、术后生命体征差异无统计学意义。术后镇痛剂用量不受年龄或性别的影响。
结论：吸烟改变术后疼痛管理，尤其是这种手术，这些患者感到更多的疼痛，需要更多的术后镇痛剂量。因此,有效的术后疼痛控制应考虑吸烟行为，和镇痛剂量可能需要调整吸烟的患者。
方法：共100名具有美国麻醉医师协会I-II状态的患者，18-55岁,计划接受鼓膜乳突切除术的患者分为两组:吸烟者(第1组)和非吸烟者(第2组).术前比较患者，术中,术后24小时碳氧血红蛋白，血压,氧饱和度,呼吸频率,心率,疼痛强度和言语数字评定量表，患者控制的曲马多剂量的程度，恶心,和呕吐。
结果：每组50人。第1组术后镇痛剂用量和疼痛评分较高，术后首次疼痛感觉较早。此外，在第1组中，术前碳氧血红蛋白水平和术后恶心在统计学上较高，之后,在感应后的第十分钟，而氧饱和度较低。两组术中、术后生命体征差异无统计学意义。术后镇痛剂用量不受年龄或性别的影响。
结论：吸烟改变术后疼痛管理，尤其是这种手术，这些患者感到更多的疼痛，需要更多的术后镇痛剂量。因此,有效的术后疼痛控制应考虑吸烟行为，和镇痛剂量可能需要调整吸烟的患者。
