摘要
目的观察芬太尼加布比卡因连续硬膜外术后镇痛的效果及并发症。方法500例腰麻联合硬膜外麻醉的患者,术毕采用硬膜外术后镇痛。药物配方为:0．125％布比卡因加芬太尼1．5-2μg／ml共200 ml,泵注速度为5 ml／h。在术后4 h、8 h、24 h、40 h观察患者镇痛效果(VAS评分)、生命体征及并发症和处理措施。结果镇痛满意率为96．2％(481例),并发症92例,发生率为18．4％,并发症包括低血压5例、单侧下肢乏力6例、恶心呕吐12例、尿潴留64例、皮肤瘙痒5例。结论连续硬膜外术后镇痛效果满意,并发症的发生与镇痛药物有关,并与患者的年龄和性别有关。
Objective To evaluate the effects and complications of postoperative epidural pain control with fentanyl and bupivacaine, Methods Five hundred patients were received postoperative pain control by continuous epidural analgesia after combined spinal-epidural anesthesia. The mixture of 1.5-2 μg/ml fentanyl and 0. 125% bupivacaine was administered with the maintained dose 5 ml/h in all patients. The visual analogue scale（VAS） was evaluated and the vital signs and complications were observed at 4 h ,8 h, 24 h ,40 h after operation. Results The analgesic effects was satisfied in 96.2% （481 cases ） patients for postoperative pain. Complications were occurred in 92 eases （ 18.4% ）, including hypotension, lower limb weakness or paralysis, nausea and vomiting, urinary retention and pruritus. Conclusion It is satisfied to control postoperative pain with the methods mentioned above. Complications are related to the drugs used for pain control,and patients＇ age and sex.
出处
《实用疼痛学杂志》
2006年第4期219-221,共3页
Pain Clinic Journal
关键词
疼痛
手术后镇痛
硬膜外
并发症
Pain, Postoperative Analgesia, Epidural
Complication
