CAJ | 학술논문

目的：观察硬膜外腔一次性注入吗一氟合液用于剖腹产后的镇痛效果及副作用。方法：50例ASAⅠ—Ⅱ级剖宫产产妇，随机分为2组：硬膜外腔一次性给药组Ⅰ组(n=25)，硬膜外持续自控止痛组Ⅱ组(n=25)，两组均于手术结束前15分钟给药。所有患者随访至术后72小时。对照观察两组的镇痛时间，镇痛效果，副作用。结果：Ⅰ组镇痛时间明显短于Ⅱ组(P＜0.05)，两组恶心，呕吐，尿潴留、瘙痒发生率及睡眠情况均无明显差异。结论：一次性硬外注入止痛药虽镇痛时间比PCEA短，但仍可满足镇痛要求，且价格低廉，适用于剖腹产术后镇痛。
목적：관찰경막외강일차성주입마일불합액용우부복산후적진통효과급부작용。방법：50례ASAⅠ—Ⅱ급부궁산산부，수궤분위2조：경막외강일차성급약조Ⅰ조(n=25)，경막외지속자공지통조Ⅱ조(n=25)，량조균우수술결속전15분종급약。소유환자수방지술후72소시。대조관찰량조적진통시간，진통효과，부작용。결과：Ⅰ조진통시간명현단우Ⅱ조(P＜0.05)，량조악심，구토，뇨저류、소양발생솔급수면정황균무명현차이。결론：일차성경외주입지통약수진통시간비PCEA단，단잉가만족진통요구，차개격저렴，괄용우부복산술후진통。
Objective; To observe single dose epidural morphine-d roperidolfor anal gesic effects and side dffects after Cesarean section.Method 50 AS A Ⅰ-Ⅱpatient s undergoing Cesarean Section were randomly divided into two groups; a single d o se of epidural is Ⅰ group,(n=25) PCEA is Ⅱgroup(n=25).The Analgesic drug was g iven at 15 minute before operation was over,follow-up all patients in 72h after C esarean section, Compared duration of pain relier,analgesic effect and side effe ct.Result duration of pain relief of I groups was singificantly shorter than Ⅱg roups.(p＜0.05).nausea.vomiting,urinary retention,pruritus and sleep were no si gnificantly difference between two groups (p＜0.05).Conclusion duration of pain relief of single dose epidural analgesia is shorter than PCEA, But patients satisfied it's pain relief and It is cheaper,so It applies to post cesarean section pain relief.