摘要
目的 观察不同途径给药的麻醉镇痛效果。方法 腹部及下肢手术80例,随机分为两组。Ⅰ组(PCIA):5μg/ml芬太尼、50μg/ml咪唑安定、20μg/ml枢复宁共100ml;Ⅱ组(PCEA):5μg/ml芬太尼、0.1％布比卡因、20μg/ml枢复宁共100ml。记录两组血流动力学变化、镇痛效果、镇静评分、不良反应等。结果 两组病人术后血流动力学平稳,镇痛效果满意,不良反应少,两组间均无统计学差异(P>0.05);Ⅰ组于术后24h时镇静稍深,组间、组内比较有显著性差异(P<0.05)。结论 Ⅰ和Ⅱ均为临床有效的术后镇痛方法,镇痛确切,不良反应少。
Objective To study clinical effects by comparing PCIA and PCEA. Methods 80 patients who were eperated in abdomen and lowy extremity were randomly and evenly divided into two groups, grroup I :5ug/ml fentanyl + 50ug/ml midazolam + 20μg/ nil ondansetron; groupⅡ : 5ug/ml fntanyl +0.1% Bupivacaine + 20μg/ml ondansetron. Thei results were taken a comparative study, including changers of MAP. HR.analgesic efficacy.side effect and so on. Results All patients were safe and analgesic efficacy was satisfactory and side effects were low . Conclusion PCEA and PCEA are effective Postoperative analgesia ways.
出处
《菏泽医学专科学校学报》
2003年第3期10-11,共2页
Journal of Heze Medical College
