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不同镇痛方法用于妇科手术病人术后镇痛的疗效观察 被引量：1

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摘要 目的比较硬膜外单次注射吗啡与病人自控硬膜外镇痛(PCEA)、自控静脉镇痛(PCIA)在术后镇痛中的临床效果。方法选择美国麻醉医学会(ASA)Ⅰ～Ⅱ级行妇科手术的病人60例。随机分为吗啡组(A组)、吗啡PCEA组(B组)和吗啡PCIA组(C组)。每组20例。A组在手术结束时硬膜外腔注射吗啡2 mg+盐酸罗哌卡因15 mg,B组在手术结束时硬膜外腔注射吗啡0.5 mg+盐酸罗哌卡因15 mg,并经硬膜外导管接自控止痛泵,C组在手术结束时硬膜外腔注射吗啡0.5 mg+盐酸罗哌卡因15 mg,并经静脉接自控止痛泵。记录A、B、C 3组术后4、8、12、24、48h各时间点VAS评分和恶心呕吐、皮肤瘙痒、呼吸抑制、下肢麻木等不良反应的发生情况。结果B、C组8、12、24、48h各时间点VAS评分均低于A组(P<0.01)。B组下肢麻木的发生高于A组、C组(P<0.05)。结论PCIA泵、PCEA泵均能产生良好的术后镇痛效果。PCIA泵具有避免PCEA泵一些严重并发症的发生。
作者 袁智敏 金妤惠 赵建萍 李娜
机构地区 河南开封市妇幼保健院麻醉科
出处 《河南外科学杂志》 2010年第1期61-62,共2页 Henan Journal of Surgery
关键词 PCIA PCEA 单次注射 吗啡
分类号 R614 [医药卫生—麻醉学]
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参考文献5

二级参考文献57

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共引文献152

同被引文献21

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河南外科学杂志
2010年 第1期

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