硬膜外腔术后镇痛两种镇痛液的镇痛效果及临床观察  

Epidural Postoperative analgesia solution of two analgesic effect and clinical observation

作　　者：魏成敏 

机构地区：[1]阳谷县第一人民医院,山东阳谷252300

出　　处：《健康大视野（医学版）》2013年第3期125-126,共2页Health Horizon:Medical Science Fascicule

摘　　要：目的观察低浓度芬太尼、氟哌利多混合液的镇痛效果，比较不同浓度芬太尼、氟哌利多以及与氯胺酮联合应用于术后镇痛的疗效及其安全性。方法选择施行硬膜外腔麻醉的手术病人300例，ASAI-Ⅱ级，按术后选择镇痛药液的不同随机分成两组。芬太尼，氟哌利多组（简称A组）及芬太尼、氟哌利多、氯胺酮联合组（简称B组）。两组病例均于术毕采用一次性输注泵连接硬膜外腔导管，持续镇痛。观察病人镇痛效果及血氧饱和度（SpO2）、心率（HR）、血压（Bp）等生命参数的变化。同时记录发生呼吸抑制、恶心呕吐等副作用发生情况。结果两组病例镇痛效果优良率均在90％以上，镇痛效果优者A组较B组高；两组病人施行不同的镇痛药液对病人的SPO2、HR、Bp较麻醉前均无明显差异、且患者呼吸抑制、恶心呕吐、嗜睡、尿潴留等副作用发生率低。结论该两种镇痛药液对手术患者采用一次性输注泵硬膜外腔术后镇痛均可产生良好的效果，且使用安全、副作用发生率低。Objective To observe the low concentration of fentanyl, droperidol mixture of arkalgesic effect, comparing different concentrations of fentanyl, droperidol and kelamine combined used analgesic efficacy and safety.Methods Implemented epidural anesthesia surgical patients 300 cases, ASA I-Ⅱ level, according to the postoperative analgesic selected randomly divided into two groups of different liquid. Fentanyl, droperidol group （ group A） and fentanyl, droperidol, ketamine combined group （group B ）. Groups of patients were on a one - time infusion pump surgery using epidurul catheter connected, continuous analgesia. Observation of patients and the analgesic effect of oxygen sammtian （Sp02）, heart rate （HR）, blood pres- sure （Bp） and other vital parameters change. Also recorded respiratory depression, nausea, vomiting and other side effects situation. Results Anal- gesic effect of the two groups were excellent in the rate of 90%, excellent analgesia were higher in group A than in group B; two different patients in the patient＇s analgesic liquid SPO2, HR, Bp were compared with pre- anesthesia days significant differences, and patients with respiratory depression, nausea, vomiting, drowsiness, urinary retention and other side effects is low. Conclusions The two patients with analgesic liquid disposable surgical epidural analgesia infusion pump can produce good results, and the use of safe, low incidence of side effects, the proposed work, promote the use of postoperative analgesia.

关 键 词：硬膜外腔 输注泵 联合用药 术后镇痛 

分 类 号：R614.42[医药卫生—麻醉学]