Effect of OPRM1/COMT gene polymorphisms on sufentanil labor analgesia: a cohort study based on propensity score matching

被引:4
作者
Chen, Yao [1 ]
Chen, Quanyao [1 ]
Cai, Can [1 ]
Lin, Xiuxian [1 ]
Yu, Weiwei [1 ]
Huang, Huiqiong [1 ]
Xie, Wenmin [1 ]
Lin, Min [1 ]
Chen, Weida [1 ]
Wu, Hui [2 ]
Su, Tingting [3 ]
Wang, Lingsong [1 ]
机构
[1] Xiamen Univ, Women & Childrens Hosp, Sch Med, Xiamen 361003, Fujian, Peoples R China
[2] Xiamen Univ, Sch Pharmaceut Sci, Xiamen 361003, Fujian, Peoples R China
[3] Fujian Med Univ, Fuzhou 350000, Fujian, Peoples R China
关键词
analgesia; COMT; labor; OPRM1; sufentanil; OPIOID RECEPTOR GENE; CONTROLLED EPIDURAL ANALGESIA; A118G POLYMORPHISM; ROPIVACAINE; ASSOCIATION; PAIN; LEVOBUPIVACAINE;
D O I
10.2217/pgs-2023-0103
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Background: This study investigated the use of COMT G1947A and OPRM1 A118G polymorphisms as predictive markers for sufentanil epidural analgesia. Methods: The visual analogue scale (VAS) score, and sufentanil consumption of 136 pairs of parturients using sufentanil with lidocaine and ropivacaine for epidural analgesia were used for analysis. Results: OPRM1 AG/GG had lower VAS score difference between fifth and 0 min (1.55 vs 1.87; p = 0.012) and higher consumption (19.65 mu g vs 17.11 mu g; p = 0.049) than AA carriers. COMT GA/AA had higher VAS score difference than GG carriers (1.86 vs 1.55; p = 0.021). Conclusion: Sufentanil may provide better epidural labor analgesia in OPRM1 AA and COMT GA/AA carriers compared with OPRM1 AG/GG and COMT GG carriers.
引用
收藏
页码:675 / 684
页数:10
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