下腹部手术硬膜外应用吗啡的时机及超前镇痛效应  

The preemptive analgesia of morphia epidural anesthesiain in hypogastrium operation

作　　者：任丹凤[1] 

机构地区：[1]杭州市萧山区第二人民医院,311200

出　　处：《浙江临床医学》2003年第2期100-101,共2页Zhejiang Clinical Medical Journal

摘　　要：目的 观察下腹部手术硬膜外应用吗啡的时机及超前镇痛的效应。方法 50例硬膜外阻滞效果满意的下腹部手术患者。根据硬膜外注射吗啡时间的不同 ,采用口述评分评价术后10～12h镇痛效果并记录发生的副作用 ,随机分为观察组和对照组。结果 两组患者痛觉减退节段数无差异 ,观察组镇痛时间显著长于对照组 ,患者对镇痛效果的评价观察组优于对照组 ,观察组恶心呕吐及尿潴留发生率明显高于对照组。 结论 硬膜外腔吗啡的合理应用可发挥超前镇痛效应 ,临床上应重视术后镇痛时机的选择。Objective To discuss the effect of preemptive analgesia of morphia epidural anesthesiain in hypogastrium operation. Methods 50 patients with morphia epidural anesthesiain in hypogastrium operation were randomly divided into observe group and control group. Evaluated anesthesia effect and side effect. Results There were no difference in hypoalgesia segment number between two groups. Anesthesia time was significantly longer than control groups. Conclusion morphia epidural anesthesiain can yield the effect of preemptive analgesia.

关 键 词：下腹部手术 吗啡 超前镇痛效应 硬膜外阻滞 

分 类 号：R614[医药卫生—麻醉学]