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Authors Xu C, Li M, Wang C, Li H, Liu H
Received 13 October 2017
Accepted for publication 30 January 2018
Published 26 April 2018 Volume 2018:11 Pages 867—873
DOI https://doi.org/10.2147/JPR.S153456
Checked for plagiarism Yes
Review by Single-blind
Peer reviewers approved by Dr Minal Joshi
Peer reviewer comments 2
Editor who approved publication: Dr Katherine Hanlon
Purpose: Hallux valgus surgery often results in significant postoperative
pain. Adequate control of pain is essential for patient satisfaction and
improves the outcome of the procedure. This study aimed to investigate the
perioperative analgesic effect of a buprenorphine transdermal patch in patients
who underwent hallux valgus surgery.
Patients and methods: A total of 90 patients were randomly divided into the
following three groups based on the perioperative analgesic method:
flurbiprofen axetil intravenous injection (Group F), oral celecoxib (Group C),
and buprenorphine transdermal delivery system (BTDS) (Group BTDS). The pain
status, degree of satisfaction, adverse effects, and administration of tramadol
hydrochloride for uncontrolled pain were recorded on the night before surgery,
postoperative day 1, postoperative day 2, and postoperative day 3.
Results: The BTDS could effectively control perioperative
pain for patients undergoing hallux valgus surgery. The analgesic effect of
the BTDS was better than that of oral celecoxib. In addition, statistically
significant differences were not observed in the visual analog scale (VAS)
scores, adverse effects, and rescue analgesia between the patients who received
the BTDS and the patients who received the flurbiprofen axetil intravenous
injection. However, the degree of patient satisfaction of the BTDS group was
significantly higher (P <0.05) than
that of the other two groups.
Conclusion: The BTDS (a preemptive analgesia regimen) could exert
an analgesic effect during the perioperative period for patients who had
received hallux valgus surgery, and this effect is beneficial for sustaining
postoperative physiological and psychological states and promoting functional
rehabilitation.
Keywords: hallux valgus,
buprenorphine transdermal patch, analgesia, perioperative