In previous human studies, pretreatment with parecoxib can effectively relieve hyperalgesia after short-term infusion of remifentanil. In this study, we aim to investigate the effect of parecoxib on hyperalgesia after Short-term infusion of remifentanil in clinical practice. Totally, 120 patients who underwent ambulatory surgery were randomly divided into four groups. All patients received either parecoxib （40 mg） or normal saline （as placebo） 30 min before induction of anesthesia. Group A （placebo ＋ propofol） and Group B （parecoxib ＋ propofol） received only propofol for anesthesia, while Group C （placebo ＋ propofol ＋ remifentanil） and Group D （parecoxib ＋ propofol ＋ remifentanil） received both propofol and remifentanil for anesthesia. Visual analogue score （VAS） was used to evaluate pain score at various time points, including the time of birth date recollection and 30, 60, 90, 120, 180, 240, and 300 min after surgery, respectively. During the phase from discontinuation of anesthesia to 240 min after surgery, there is significant difference in the severity of pain among four groups with the order of： Group B 〈Group A 〈Group D 〈Group C （P〈0.001）. Compared with patients in Groups A and B, patients in Group C suffered significantly higher pain score. After admini- stration of parecoxib, patients in Groups B and D experienced similar low pain score with comparison to Groups A and C （P〈0.001）. Patients in Groups B and D experienced shorter recovery time to eye opening on verbal command and recollection of birth date among the four groups （P〈0.001）. Groups B and D also had significantly improved satisfaction of pain management （P〈0.001）. In conclusion, short-term infusion of remifentanil can induce significant hyperalgesia in clinical practice, while pretreatment with parecoxib at 40 mg is effective in relieving such remifentani-induced hyperalgesia. In addition, we also found that pretreatment with parecoxib could significantly improve patients�
Although parecoxib plays an important role in pain management after ambulatory gynecological surgery, its exact effect remains to be fully elucidated. In the present study, we aimed to investigate the effect of parecoxib pretreatment in reducing pain intensity after ambulatory gynecological surgery. A total of 200 female patients who were scheduled to selective ambulatory gynecological surgery were randomly divided into two groups. Patients in the control group received normal saline as placebo, whereas 40 mg parecoxib was given to the patients in the parecoxib group 30 min prior to anesthesia induction. Visual analogue score （0 mm = no pain, and 100 mm= most severe pain） was used to evaluate postoperative pain severity. Pain scores were significantly lower in the parecoxib group than those in the control group after surgery. Compared with the control group, the incidence of intraoperative hypoxemia was significantly lower, and the recovery time from end of anesthesia to eye opening and birth date recollection were significantly shorter in the parecoxib group. Patients in the parecoxib group also had significantly improved overall satisfaction than those in the control group.
