临床医学工程2009，Vol.16Issue(7)：34-35,2.
硬膜外吗啡PCA用于两种不同方式全子宫切除术的对比研究
Efficacy of Epidural Morphine Patient-Controlled Analgesia Uused for Abdominal Hysterectomy versus Vaginal Hysterectomy
谢长春 1罗禄萍 1黄建辉 1付建强 1孙超君 1钟启钊 1谭树帮 1陈旭1
作者信息
- 1. 广州医学院荔湾医院,广东,广州,510170
- 折叠
摘要
Abstract
Objective To compare the postoperative analgesic efficacy of morphine used in patients who underwent a abdominal hys-terectomy(AH) with patients who had a vaginal hysterectomy (VH). Methods Sixty patients undergoing hysterectomy were randomized into two groups, each receiving epidural morphine PCA after surgery. All patiant receiving epidural 0.125 % ropivacaine 5 ml combined with 0.5 mg of morphine 15 minutes before skin incision followed by 0.125 % ropivacaine and 100μg/ml morphine infusion at 1.5 ml/h to the end of surgery. Patients were monitored for pain, sedation and side effects as well as respiratory rate, nausea, vomiting, pruritus, blood pressure and pulse rate. Patients were evaluated 1 hour, 4 hours, 8 hours, 12 hours and 24 hours postoperatively; The back infusion would reduce to 0.8～1.0 ml/h if the VAS was lessen than 1. Results The overall mean pain score in group VH was lower as compared to group AH (P<0.01) ; The requirement for total morphine was less in patients who had a VII compared with patients who had a AH (P<0.01) ; side effects as nausea and vomiting was higher in those submitted to VH. Conclusions Patients submitted to VH require less postoperative analgesic drugs when compared with patients who submitted to VH, but side effects as nausea and vomiting was higher in those submitted to VH.关键词
吗啡/PCA/硬膜外/镇痛/全子宫切除术Key words
Morphine/Patient-controlled analgesia (PCA)/Epidural/Hysterectomy分类
医药卫生引用本文复制引用
谢长春,罗禄萍,黄建辉,付建强,孙超君,钟启钊,谭树帮,陈旭..硬膜外吗啡PCA用于两种不同方式全子宫切除术的对比研究[J].临床医学工程,2009,16(7):34-35,2.
