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哌替啶持续静脉泵入对术后镇痛效果观察

The analgesic efficacy of meperidine continuous intravenous perfusion on post-operative patients.
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摘要 哌替啶持续静脉泵入对术后镇痛效果观察蔡瑛*黄青青*苏美仙*万林骏*张自云*手术后疼痛不仅给病人造成极大痛苦,还可能导致一些并发症,影响病人术后转归。我们观察持续静脉泵入哌替啶对术后镇痛效果,并与传统肌注哌替啶—异丙嗪进行比较。资料与方法1.临床资料... This study was performed to assess the analgesic effect of meperidine on post-operative patients by continuous intravenous infusion,comparing with that of routine intramuscular meperidine-promethazine.Forty patients(ASA I or Ⅱ)were randomly divided into two groups(n=20each).CI group:patients received meperidine by continuous intravenous infusion (2mg.kg-1.24h-1).IM group:patients received intramuscular meperidine (50mg),plus promethazine(25mg)whenever required.The results showed that there were significant analgesic efficacy,lower VAS level and less pulmonary complications in CI group compared with IM group.The patients in CI group were conscious,cooperative and felt well,needed less nursing managements and had good sleep in night.Our study suggests that the meperidine continuous intravenous perfusion is a better method to relieve postoperative pain.
出处 《云南医药》 CAS 1998年第1期42-43,共2页 Medicine and Pharmacy of Yunnan
关键词 哌替啶 术后镇痛 静脉泵 持续止痛 外科手术 Continuous intravenous infusion Meperidine Analgesis of post-operative pain
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参考文献3

  • 1鲍泽民,李欣,金熊元.硬膜外注射曲马多用于术后镇痛[J].实用疼痛学杂志,1994(2):50-51. 被引量:5
  • 2修培宏 等.病人自控止痛法的临床运用[J].国外医学,1994,4:230-230.
  • 3Margo Hendrikson,et al.Postoperative Analgesia in Children:A Prospective Study of Intermittent Intramuscular Injection Versus Continuous Intrarenous Infusion of Morphine.Journal of Pediatric Surgerg,1990,25:185.

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