摘要
目的 :探讨小剂量吗啡用于妇科术后镇痛的效果。方法 :对 36 0例硬膜外麻醉行妇科手术的病人随机分组 ,198例病人在手术结束时硬膜外导管注入吗啡 2 mg(生理盐水稀释至 10 m L)、78例注入芬太尼 0 .0 4 m L(生理盐水稀释至 10 m L )、84例注入生理盐水 10 m L作为对照组。结果 :吗啡组 、 级镇痛达 86 .9% (172 /198) ,芬太尼组为 2 8.2 % (2 2 /78) ,生理盐水组为 (3/84 ) ;吗啡明显高于芬太尼组及生理盐水组 ,(P<0 .0 1)。而三组恶心、呕吐、呼吸、脉搏等副反应无明显差别。结论 :吗啡用于妇科术后镇痛效果好、安全、适用。
Aim To approach the effecf of the application of small dose of morphine in analgesia after gynecoloyic operation.Methods The patients in 360 cases receving gynecologic operation with pendural anesthesia were grouped randomly.Injecting 2mg of morphine(dilrted to 10mg with physiological saline)for the patiens in 198 cases though gynecologic catheter when the operation was finished,injecting 0.04 mg of the patients in 78 acases,and injecting 10 mg of physiological saline for the patients in 84 cases as control groups.Results In the group of morphine,the grade Ⅱ analgesia reached 86.9 %(172/198),in the group of fentanyl,28.2 %(22/78);and in the group of physiological saline,3.6 %(3/84).The group of morphine was obviously higher than the group of fentanyl and the group of physiological saline(P<0.01).While the negative reactions,such as nausea,vomiting,breath,blood pressure,pulse wave etc.were not obviously different inthe three groups. Conclusion small dose of morphine used in analgesia after gynecologic operation is good in result,safe and applicable.
出处
《实用医技杂志》
2004年第05A期608-610,共3页
Journal of Practical Medical Techniques
