硬膜外腔芬太尼复合罗比卡因术后自控镇痛观察  

Patient controlled epidural analgesia with fentany combined with vopivacaie for hysterectom

作　　者：于淼舒[1] 刘凤娟[1] 张锐[1] 

机构地区：[1]哈尔滨242医院,150066

出　　处：《航空航天医药》2007年第2期90-91,共2页Aerospace Medicine

摘　　要：目的:观察不同浓度,不同速率罗比卡因在开胸术后硬膜外腔的镇痛效果及不良反应。方法:60例开胸手术后病人随机分为3组,Ⅰ组0.05%罗比卡因十芬太尼1ug/ml,8ml/h;Ⅱ组0.1%罗比卡因十芬太尼2ug/ml,4ml/h,Ⅲ组,0.2%罗比卡因十芬太尼4ug/ml,2ml/h。观察病人静息和咳嗽疼痛评分。结果Ⅰ、Ⅱ组较Ⅲ组有显著性差异(P<0.05)结论:Ⅰ、Ⅱ组对开胸手术后病人不仅有良好的镇痛效果,而且对运动神经及循环影响轻微。Objective：To investigate the effects of analgesia and occurrence of side events of PCEA with different concentration and volume of vopivacaine after thoracotomy, Methods：60 ASA physical status Ⅰ-Ⅱ patients undergoing selective thoracic surgery received propofol genearal/epidui anesthesia after surgery, padents were randomly divided into 3 groups with 20 cases each,0.05% vopivacaine and lentany 1ug/ml 8ml/h were given in group Ⅰ;0.1% vopivacaine and fentany 2ug/ml,4ml/h in group Ⅱ ;0.2% vopivacaine and fentany 4ug/ml, 2ml/h in group Ⅲ. Dynamic visual analogue pain scale（VAS）during rest or coughing, Occurrence of side were also recorded with two postoperative days. Results： There was nodifference（ P 〉 0.05） in VAS among group Ⅰ、Ⅱ, which was less than that in group Ⅲ （ P 〈 0.05）. Results Group Ⅰ、Ⅱ were significantly different VS group Ⅲ. Conclusions： Group Ⅰ、Ⅱ can providesaftisfactory postoperative PCEA without significant side effects in thoracic surgical patients.

关 键 词：病人硬膜外自控镇痛 罗比卡因 芬太尼 

分 类 号：R614.42[医药卫生—麻醉学]