Comparison of the analgesic effects of cryoanalgesia vs. parecoxib for lung cancer patients after lobectomy

Surg Today. 2015 Oct;45(10):1250-4. doi: 10.1007/s00595-014-1043-9. Epub 2014 Oct 11.

Abstract

This study was designed to compare the analgesic effects of cryoanalgesia and parecoxib in lung cancer patients after lobectomy. A total of 178 lung cancer patients awaiting large-sized lobectomy were enrolled in the study. The patients were randomly divided into Group A (intercostal nerve cryoanalgesia) and Group B (parecoxib). The analgesic and adverse effects were compared between the two groups. The pain score of Group A was significantly lower than that of Group B (P < 0.05). The patients in Group A used significantly less morphine than those in Group B (P < 0.05). There were also significantly fewer complications in Group A than in Group B (P < 0.05). Cryoanalgesia of the intercostal nerves can be considered an economical, safe and simple technique for the long-term management of post-lobectomy pain.

Keywords: Analgesic effects; Cryoanalgesia; Lobectomy; Parecoxib.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Analgesia*
  • Cryoanesthesia* / adverse effects
  • Female
  • Humans
  • Intercostal Nerves
  • Isoxazoles / adverse effects
  • Isoxazoles / therapeutic use*
  • Lung Neoplasms / surgery*
  • Male
  • Middle Aged
  • Morphine / administration & dosage
  • Pain Measurement
  • Pain, Postoperative / prevention & control
  • Pain, Postoperative / therapy*
  • Pneumonectomy

Substances

  • Isoxazoles
  • Morphine
  • parecoxib