中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2008年
11期
9-11
,共3页
布托啡诺%罗哌卡因%硬膜外镇痛%病人控制%剖宫产
佈託啡諾%囉哌卡因%硬膜外鎮痛%病人控製%剖宮產
포탁배낙%라고잡인%경막외진통%병인공제%부궁산
Butorphanol%Ropivacaine%Epidural analgesia%Patient - controlled%Cesarean section
目的 观察布托啡诺复合罗哌卡因用于剖宫产术后硬膜外自控镇痛(PCEA)的效果.方法 ASA Ⅰ或Ⅱ级需PCEA剖宫产病人100例,随机均分为布托啡诺组(B组),吗啡组(M组).B组布托啡诺4 mg,M组吗啡4 mg,两组均复合罗哌卡因150 mg,以生理盐水稀释至100 ml,背景剂量2 ml/h,单次PCA剂量0.5 ml,锁定时间为15 min,比较术后镇痛效果和副作用.结果 B组在术后2 h和8 h静息和咳嗽时的视觉模拟评分(VAS)明显低于M组(P<0.05).B组镇痛泵有效按压次数少于M组(P<0.05).病人对PCEA满意度评估术后镇痛效果,B组总体镇痛效果优于M组(P<0.05).M组恶心、呕吐发生率与B组有明显区别.结论 布托啡诺复合罗哌卡因在剖宫产术后PCEA镇痛完善、不良反应少、程度轻,是理想的镇痛选择.
目的 觀察佈託啡諾複閤囉哌卡因用于剖宮產術後硬膜外自控鎮痛(PCEA)的效果.方法 ASA Ⅰ或Ⅱ級需PCEA剖宮產病人100例,隨機均分為佈託啡諾組(B組),嗎啡組(M組).B組佈託啡諾4 mg,M組嗎啡4 mg,兩組均複閤囉哌卡因150 mg,以生理鹽水稀釋至100 ml,揹景劑量2 ml/h,單次PCA劑量0.5 ml,鎖定時間為15 min,比較術後鎮痛效果和副作用.結果 B組在術後2 h和8 h靜息和咳嗽時的視覺模擬評分(VAS)明顯低于M組(P<0.05).B組鎮痛泵有效按壓次數少于M組(P<0.05).病人對PCEA滿意度評估術後鎮痛效果,B組總體鎮痛效果優于M組(P<0.05).M組噁心、嘔吐髮生率與B組有明顯區彆.結論 佈託啡諾複閤囉哌卡因在剖宮產術後PCEA鎮痛完善、不良反應少、程度輕,是理想的鎮痛選擇.
목적 관찰포탁배낙복합라고잡인용우부궁산술후경막외자공진통(PCEA)적효과.방법 ASA Ⅰ혹Ⅱ급수PCEA부궁산병인100례,수궤균분위포탁배낙조(B조),마배조(M조).B조포탁배낙4 mg,M조마배4 mg,량조균복합라고잡인150 mg,이생리염수희석지100 ml,배경제량2 ml/h,단차PCA제량0.5 ml,쇄정시간위15 min,비교술후진통효과화부작용.결과 B조재술후2 h화8 h정식화해수시적시각모의평분(VAS)명현저우M조(P<0.05).B조진통빙유효안압차수소우M조(P<0.05).병인대PCEA만의도평고술후진통효과,B조총체진통효과우우M조(P<0.05).M조악심、구토발생솔여B조유명현구별.결론 포탁배낙복합라고잡인재부궁산술후PCEA진통완선、불량반응소、정도경,시이상적진통선택.
Objective To observe the analgesia and side effects of butorphanol or morphine combinde with ropivacaine and postoperative patients of cesarean section with controlled epidural analgesia (PCEA). Methods One hundred patients, undergoing cesarean section with controlled epidural anesthesia,were randomly divided into two groups. Butorphanol 40 mg/L( B group) or morphine 40 mg/L ( M group) with 1.5 g/L ropivacaine were given epidurally after surgery respectively. Postoperative pain was assessed using VAS. Results The VAS scores of study group were significantly lower than M group at 2 h and 8 h after cesarean section. The incidences and degree of nausea and vomiting of study group were lower than M group. When patients were in state of rest or coughing respectively ( P < 0.05 ). The number of effective consumption in study group was significantly less than that in M group. Conclusion Butorphanol with ropivacaine could be safe in PCEA after cesarean section. Butorphanol have better analgesic effect than morphine with less side effects.
