顎変形症手術の術後痛と周術期のストレス関連ホルモンの動態について Postoperative pain and stress-related hormone responses to surgery in jaw deformities

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著者

    • 森崎 重規 MORISAKI Shigeki
    • 東京歯科大学市川総合病院歯科・口腔外科 Oral and Maxillo-Facial Surgery, Ichikawa General Hospital, Tokyo Dental College
    • 山根 源之 YAMANE Gen-yuki
    • 東京歯科大学市川総合病院歯科・口腔外科 Oral and Maxillo-Facial Surgery, Ichikawa General Hospital, Tokyo Dental College
    • 外木 守雄 [他] TONOGI Morio
    • 東京歯科大学市川総合病院歯科・口腔外科 Oral and Maxillo-Facial Surgery, Ichikawa General Hospital, Tokyo Dental College
    • 小澤 靖弘 OZAWA Yasuhiro
    • 東京歯科大学市川総合病院歯科・口腔外科 Oral and Maxillo-Facial Surgery, Ichikawa General Hospital, Tokyo Dental College

抄録

In recent years, surgery for jaw deformities has become common practice in the field of oral surgery, but few reports have discussed countermeasures for postoperative pain or perioperative stress-related biological responses. Nonsteroidal anti-inflammatory drugs (NSAIDs) are usually used for postoperative analgesia, but pain relief is often insufficient. We investigated the responses of stress-related hormones and assessed pain caused by surgery in patients with jaw deformities to ascertain postoperative pathological changes, which have an important role in selecting the postoperative analgesic technique. This investigation demonstrated not only severe pain, but also increases in blood concentrations of stress-related hormones such as catecholamines, vasopressin, and cortisol immediately after surgery. Therefore, when surgically treating jaw deformities, administration of analgesics mustbe started during surgery, taking into account postoperative analgesia and carefully monitoring postoperative changes in vital signs.

収録刊行物

  • 日本口腔外科学会雑誌  

    日本口腔外科学会雑誌 52(3), 162-166, 2006-03-20 

    Japanese Society of Oral and Maxillofacial Surgeons

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各種コード

  • NII論文ID(NAID)
    10018860175
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00215163
  • NDL 記事登録ID
    7899882
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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