JPS63115818A - Local composition for improving or extinguishing pain after operation - Google Patents

Local composition for improving or extinguishing pain after operation

Info

Publication number
JPS63115818A
JPS63115818A JP62210365A JP21036587A JPS63115818A JP S63115818 A JPS63115818 A JP S63115818A JP 62210365 A JP62210365 A JP 62210365A JP 21036587 A JP21036587 A JP 21036587A JP S63115818 A JPS63115818 A JP S63115818A
Authority
JP
Japan
Prior art keywords
cortisone
pain
wound
preparation
extinguishing
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP62210365A
Other languages
Japanese (ja)
Inventor
ジヨージ・アール・ケイリー・ジュニア
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of JPS63115818A publication Critical patent/JPS63115818A/en
Pending legal-status Critical Current

Links

Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。
(57) [Abstract] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

【発明の詳細な説明】 本発明は手術から回復する患者の体paする痛みを改善
又は消滅させる方法に関する。
DETAILED DESCRIPTION OF THE INVENTION The present invention relates to a method for improving or eliminating paralysis pain in a patient recovering from surgery.

従来は1例えば、嗜眠状態又は悪心のような有害なn1
作用をも生じることなく術後痛[postoperat
ive pain]を改善又は消滅させるのに有効な鎮
痛剤は開示されていない。
Previously 1 harmful n1 such as drowsiness or nausea
Post-operative pain without any effect
No analgesic agent has been disclosed that is effective in ameliorating or eliminating ive pain.

本発明の目的には、このような有害な副作用をも生じる
ことなく術後痛を軽減する処置を提供することがある1
本発明のこの目的及び他の目的は。
An object of the present invention is to provide a treatment that reduces postoperative pain without causing such harmful side effects.
This and other objects of the invention.

以下の説明によって一層理解されよう。This will be better understood with the following explanation.

−本発明によると、コルチゾン調剤の術後傷領域への局
所適用は術後痛の軽減又は消滅に有用となる9本発明方
法により2手術の完了後、術18傷の新しい手術面を一
回該コルチゾン調剤に浸1.少量の物質を傷面に常法0
例えばアトマイザを用いる直接噴霧又は注射器又は針を
用いる洗浄によって適用する。コルチゾン調剤は適用後
食塩水で洗出されない、(Iは普通に塞ぐ、過剰のコル
チゾン調剤は傷から普通に流出する0通常の治シが起る
- According to the invention, local application of a cortisone preparation to the postoperative wound area is useful in reducing or eliminating postoperative pain. Soaking in the cortisone preparation 1. Apply a small amount of substance to the wound surface using a conventional method.
For example, it is applied by direct spraying using an atomizer or by irrigation using a syringe or needle. Cortisone preparations are not flushed out with saline after application (I normally occlude, excess cortisone preparation drains normally from the wound, normal healing occurs).

さらに1本発明によると、術後傷の新手沿面はコルチゾ
ンと局所麻酔薬又は他の痛解rIi薬とで処置すること
ができる。
Further in accordance with the present invention, the new hand side of the post-operative wound can be treated with cortisone and local anesthetics or other analgesic drugs.

局所麻酔薬、好ましくはマルカイン (Marcaine ) 、キシロカイン(X ylo
caine) 。
Local anesthetics, preferably Marcaine, Xylocaine
caine).

リドカイン(l 1dOcain61) 、ノバカイン
(N 0VaCaine)等の長く作用する麻酔薬をコ
ルチゾンと共に又は別個に手術後の最初の数時間の痛み
を即時消滅させるために適用することが患者にとて役立
つことが見出だされた。この時間はコルチゾンの作用が
最も弱い期間だからである。
It may be helpful for patients to apply long-acting anesthetics such as lidocaine (11dOcaine61), Novacaine (N0VaCaine) together with cortisone or separately to immediately eliminate pain in the first few hours after surgery. discovered. This is because this is the period during which the effect of cortisone is at its weakest.

術後但領域へのコルチゾン調剤の局所適用はめざましい
効果がある。術後痛は著しく減少するか又は消滅する0
両側手術の場合、比較のために。
Local application of cortisone preparations to the post-operative area has a remarkable effect. Postoperative pain is significantly reduced or disappears0
In case of bilateral surgery, for comparison.

一方をコルチゾン調剤で処置し他方を未処置のままで放
置すると、患者は未処置側では痛みのある術後回復に耐
えるが処置した側では意味のある痛みを体験しない。
If one is treated with a cortisone preparation and the other is left untreated, the patient will endure a painful postoperative recovery on the untreated side, but will not experience any meaningful pain on the treated side.

容易に入手できる局所適用可能な任意のコルチゾン調剤
がこの目的のために使用できる。セレストン懸濁体[S
chering Corporation。
Any readily available topically applicable cortisone preparation can be used for this purpose. Celestone suspension [S
chering Corporation.

K enilworth、N 、 J 、から Ce+
estones 01uSpanとして販売されている
コが好ましいが。
Kenilworth, N, J, to Ce+
The one sold as estones 01uSpan is preferred.

噴霧できるか又は局所適用に適した他のコルチゾン調剤
も使用できる。セレストン懸濁体は、殺菌ベーターメタ
シン[beta−methasone ]ナトリウム 
フォスフェート及びベーターメタシン アセテートUS
Pの懸濁体商標である。
Other cortisone preparations that are nebulizable or suitable for topical application may also be used. Celeston suspension is made from sterile beta-methasone sodium.
Phosphate and Betamethacin Acetate US
It is a suspension trademark of P.

手術傷に適用するコルチゾンの旦は変ることができ、但
の激しさ及び範囲のような因子に左右される。用いるコ
ルチゾンの有効量は特定状況に応じて容易に確めること
ができる。
The amount of cortisone applied to surgical wounds can vary and depends on factors such as severity and extent. The effective amount of cortisone to use can be readily determined depending on the particular situation.

コルチゾンは抗炎症剤として作用し11J+!腫脹を減
少し、それによって周囲の神経の上の痛圧を減少させる
。それに加えて、コルチゾンは神経の厳しい末端に直接
作用する4手術傷に局所的に適用した場合のコルチゾン
の作用機構をさらに定めるために研究が続けられている
Cortisone acts as an anti-inflammatory agent and has 11J+! Reduces swelling and thereby reduces pain pressure on surrounding nerves. In addition, research continues to further define the mechanism of action of cortisone when applied topically to surgical wounds, where cortisone acts directly on the tough endings of nerves.

手術傷に適用する局所麻酔薬又は他の痛解放薬の瓜は変
ることができ、傷の激しさ及び範囲のような因子に左右
される。用いる麻酔薬の有効量は特定状況に対して容易
にI認できる。
The amount of local anesthetic or other pain relief agent applied to a surgical wound can vary and depends on factors such as the severity and extent of the wound. The effective amount of anesthetic to be used can be readily determined for the particular situation.

麻酔薬は手術傷にコルチゾンと共に又は別個に状況に応
じて適用することができる。容易に入手できる局所適用
可能な任意の局所麻酔調剤がこの目的のために使用でき
る。用いることができる麻酔薬の代表例には、マルカイ
ン、キシロカイン。
Anesthetics can optionally be applied to the surgical wound together with cortisone or separately. Any readily available locally applicable local anesthetic preparation can be used for this purpose. Representative examples of anesthetics that can be used include marcaine and xylocaine.

リドカイン、ノバカイン等がある。麻酔薬は手術傷に任
意の方法2例えば噴霧、洗浄、散布又は利用できる適当
なりvAで適用できる。
These include lidocaine and novacaine. The anesthetic can be applied to the surgical wound in any manner 2, such as spraying, washing, dispersing, or whatever vA is available.

本発明を次の例で説明する。これらの例は説明のために
のみあげるもので3本発明を限定するためのもめではな
い。
The invention is illustrated by the following example. These examples are given for illustrative purposes only and are not intended to limit the invention.

例  1 両側ケラーバニオン切除 [)(eller 13unionectoIIly 
]足の母指の第−MPli1節の内側面の上の軟組織を
切除する。切除は軟組織を通り母指の第−開面まで続け
る。母指の近位指部骨を第一中足骨の遠位面の内側面上
のバニオンと共に除く、新骨質域を切除軟組織と共に露
出させる。
Example 1 Bilateral Keller bunion excision [) (eller 13 unionecto IIly
] Excise the soft tissue above the medial aspect of the -MPli1 segment of the big toe. The resection continues through the soft tissue to the second incision of the thumb. The proximal phalanx of the big toe is removed along with the bunion on the medial aspect of the distal surface of the first metatarsal, and the new bony area is exposed along with the resected soft tissue.

コルチゾン調剤1例えばセレストン懸濁体を傷の新手桁
面に7トマイザを用いる直接噴霧か又は注射器及び針を
用いる洗浄によって局所的に適用する。噴霧の場合には
、1′i手術組織に1ccのコルチゾン調剤を適用し、
洗浄の場合には、1.5〜2ccを適用する。物質は一
回のみ用いる。コルチゾン調剤は適用後食塩水で洗出さ
れない、過剰のコルチゾン調剤は傷から重力で流出する
0通常の治癒が起る。
Cortisone preparation 1, such as Celeston suspension, is applied topically to the fresh surface of the wound by direct spraying with a 7tomizer or irrigation with a syringe and needle. For nebulization, apply 1 cc of cortisone preparation to 1'i surgical tissue;
For cleaning, apply 1.5-2 cc. Substances are used only once. Cortisone preparations are not washed out with saline after application; excess cortisone preparation drains out of the wound by gravity; normal healing occurs.

患者はコルチゾンのみを用いると回復室で一般に若干の
不快を示す、しかしながら、一般麻酔からの回復に続(
ときは9手術域の最小の不快を体験する0足の上に圧迫
包帯を用いると、患者は室から直ちに歩行等が可能であ
る。
Patients generally exhibit some discomfort in the recovery room with cortisone alone; however, following recovery from general anesthesia (
When 9 patients experience minimal discomfort in the surgical area and 0 compression bandages are used on the legs, the patient is able to ambulate immediately from the room.

比較の目的で、一方の足をコルチゾン調剤で処置し、他
方の足を未処置のままにすると、fQ者の反応は劇的で
ある。患者は未処置の足についてm大な不満を述べ1両
足にどのような異なる処置がされたのかと外科医に質問
するのが通常である。
For comparison purposes, when one leg is treated with a cortisone preparation and the other leg is left untreated, the response of the fQ subjects is dramatic. It is common for patients to complain greatly about their untreated feet and ask the surgeon what different treatments were performed on both feet.

例  2 手の掌のデュビトレン[D upuytren]切除手
の掌から皮下繊維組織の過剰成長を除き、露出手術組織
の谷を残す1手術組織の新表面を通常は1cc未満のコ
ルチゾン調剤1例えばセレストン懸濁体又は通常等容混
合したマルカイン及びセレストンの組合せで一回浸1.
物質は傷の新手西面にアトマイザを用いる直接噴霧か又
は注射器及び針を用いる洗浄によって適用する。コルチ
ゾン調剤は適用後食塩水で洗出されない、傷は普通に塞
ぐ、過剰のコルチゾン調剤は傷から普通に流出する0通
常の冶目が起る。
EXAMPLE 2 Dupuytren Resection of the Palm of the Hand Removes excess growth of subcutaneous fibrous tissue from the palm, leaving a valley of exposed surgical tissue 1 The new surface of the surgical tissue is treated with a cortisone preparation, usually less than 1 cc, 1 e.g. One-time immersion with a suspension or a combination of marcaine and celeston, usually mixed in equal volumes.1.
The substance is applied by direct spraying with an atomizer or irrigation with a syringe and needle on the fresh west side of the wound. Cortisone preparations are not flushed out with saline after application; the wound closes normally; excess cortisone preparation drains normally from the wound; normal healing occurs.

親骨から骨移植片を取出すのは痛のある術後回復を伴う
のが通常であるが、術後傷の新手西面にコルチゾン調剤
を適用すると骨移植位置域における重大な術後不快を消
滅させる。
Retrieving bone grafts from the parent bone is usually associated with a painful postoperative recovery, but application of a cortisone preparation to the new western aspect of the postoperative wound eliminates significant postoperative discomfort in the area of the bone graft site. .

これまで本発明を説明したが、当業者には本発明の範囲
内で各種の変形が可能であることが理解できよう。
Although the invention has been described above, those skilled in the art will recognize that various modifications may be made within the scope of the invention.

次に本発明による術後痛を軽減又は消滅する方法をあげ
る。
Next, a method of reducing or eliminating postoperative pain according to the present invention will be described.

1) 有効量のコルチゾン調剤を術後傷の新手西面に局
所適用することを包含する術後傷で引起こされる術後痛
の軽減又は消滅方法。
1) A method of reducing or eliminating post-operative pain caused by a post-operative wound comprising topically applying an effective amount of a cortisone preparation to the new western aspect of the post-operative wound.

2) コルチゾン調剤をアトマイザを用いる直接噴霧に
よって術後傷の新手西面に適用する第1項記載の方法。
2) The method according to paragraph 1, wherein the cortisone preparation is applied to the new west side of the postoperative wound by direct spraying using an atomizer.

3) コルチゾン調剤を注射器及び針を用いる洗浄によ
って術後傷の新手西面に適用する第1項記載の方法。
3) The method of paragraph 1, wherein the cortisone preparation is applied to the new western surface of the post-operative wound by irrigation with a syringe and needle.

4) コルチゾン調剤の3cc未満を術後傷の新手西面
に局所的に適用する第1項記載の方法。
4) The method of paragraph 1, wherein less than 3 cc of the cortisone preparation is applied topically to the new western aspect of the post-operative wound.

5) コルチゾン調剤がベーターメタシン アセテート
及びベーターメタシン ナトリウム フォスフェートの
懸濁体を包含する第1項記載の方法。
5) The method of claim 1, wherein the cortisone formulation comprises a suspension of betamethacin acetate and betamethacin sodium phosphate.

6) 手術後の最初の数時間の間の痛の即時消滅のため
に、有効量の局所麻酔薬を術後傷の新手西面に局所適用
することをさらに包含する第1項記載の方法。
6) The method of paragraph 1 further comprising locally applying an effective amount of a local anesthetic to the neo-lateral aspect of the post-operative wound for immediate relief of pain during the first few hours after surgery.

7) 局所麻酔薬とコルチゾンをほぼ同時に112に局
所適用する第1項記載の方法。
7) The method of paragraph 1, wherein a local anesthetic and cortisone are locally applied to 112 at approximately the same time.

8) 局所麻酔薬とコルチゾンとを包含する混合物を傷
に適用する第7項記載の方法。
8) The method of paragraph 7, wherein a mixture comprising a local anesthetic and cortisone is applied to the wound.

9) 該コルチゾンが局所麻酔薬を含む第1項記載の方
法。
9) The method of paragraph 1, wherein the cortisone comprises a local anesthetic.

10)  該局所麻酔薬がマルカイン、キシロカイン、
リドカイン及びノバカインのいずれかである第1項記載
の方法。
10) The local anesthetic is marcaine, xylocaine,
The method according to item 1, wherein the method is either lidocaine or novacaine.

11)  該局所麻酔薬がコルチゾンの適用前に手術面
に適用される第1項記載の方法。
11) The method of paragraph 1, wherein the local anesthetic is applied to the surgical surface prior to application of cortisone.

Claims (4)

【特許請求の範囲】[Claims] (1)コルチゾン調剤及び麻酔薬を包含する局所用組成
物。
(1) Topical compositions including cortisone preparations and anesthetics.
(2)該コルチゾン調剤がベーターメタゾンアセテート
及びベーターメタリンナトリウムフォスフェートの懸濁
体を包含する特許請求の範囲第1項記載の組成物。
2. The composition of claim 1, wherein the cortisone preparation includes a suspension of betamethasone acetate and betamethalin sodium phosphate.
(3)該麻酔薬がマルカイン、キシロカイン、リドカイ
ン及びノバカインのいずれかである特許請求の範囲第1
項記載の組成物。
(3) Claim 1, wherein the anesthetic is any one of marcaine, xylocaine, lidocaine, and novacaine.
Compositions as described in Section.
(4)術後痛を軽減又は消滅させるのに適した特許請求
の範囲第1項記載の局所用組成物。
(4) The topical composition according to claim 1, which is suitable for reducing or eliminating postoperative pain.
JP62210365A 1986-08-27 1987-08-26 Local composition for improving or extinguishing pain after operation Pending JPS63115818A (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US900683 1986-08-27
US7499487A 1987-07-17 1987-07-17
US074994 1987-07-17

Publications (1)

Publication Number Publication Date
JPS63115818A true JPS63115818A (en) 1988-05-20

Family

ID=22122883

Family Applications (1)

Application Number Title Priority Date Filing Date
JP62210365A Pending JPS63115818A (en) 1986-08-27 1987-08-26 Local composition for improving or extinguishing pain after operation

Country Status (1)

Country Link
JP (1) JPS63115818A (en)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH10510540A (en) * 1994-12-12 1998-10-13 オメロス メディカル システムズ,インコーポレーテッド Irrigation solutions and methods for controlling pain, inflammation and convulsions
JP2000501729A (en) * 1995-12-12 2000-02-15 オメロス メディカル システムズ,インコーポレーテッド Vascular irrigation solution and method for controlling pain, inflammation, convulsions and restenosis
JP2007031454A (en) * 1994-12-12 2007-02-08 Omeros Corp Irrigation solution and method for inhibition of pain, inflammation and spasm

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH10510540A (en) * 1994-12-12 1998-10-13 オメロス メディカル システムズ,インコーポレーテッド Irrigation solutions and methods for controlling pain, inflammation and convulsions
JP2007031454A (en) * 1994-12-12 2007-02-08 Omeros Corp Irrigation solution and method for inhibition of pain, inflammation and spasm
JP2009024022A (en) * 1994-12-12 2009-02-05 Omeros Corp Irrigation solution and method for inhibition of pain, inflammation and spasm
JP2012184274A (en) * 1994-12-12 2012-09-27 Omeros Corp Irrigation solution and method for suppressing pain, inflammation and convulsion
JP2000501729A (en) * 1995-12-12 2000-02-15 オメロス メディカル システムズ,インコーポレーテッド Vascular irrigation solution and method for controlling pain, inflammation, convulsions and restenosis
JP2008094855A (en) * 1995-12-12 2008-04-24 Omeros Corp Vascular irrigation solution for and method for suppressing pain, inflammation, spasm and restenosis

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