摘要
目的比较下肢截肢术后静脉镇痛和硬膜外镇痛的镇痛效果、安全性和不良反应,为术后镇痛方法选择提供参考。方法40例腰硬麻醉下行下肢截肢手术患者,以术后镇痛方法不同,随机分为两组。分别记录两组术后2、6、24、48的视觉模拟评分(VAS),患者对镇痛效果的总体满意度及不良反应发生情况。结果两组术后各时点差异无统计学意义(P>0.05)。镇痛效果的总体满意度两组相似,两组之间差异无统计学意义(P>0.05)。结论多模式下负荷剂量吗啡联合芬太尼+罗哌卡因或舒芬太尼+氯诺昔康用于下肢截肢手术后镇痛效果确切,副作用少。
Objective of this study compared postoperative analgesia and lower extremity amputations,the analgesic effect of epidural analgesia, safety and adverse reactions, the choice of methods for postoperative analgesia for reference. Methods Forty cases of spinal and epidural anesthesia in patients with lower limb amputation in order to postoperative analgesia methods, were randomly divided into two groups. were recorded after two 2,6,24,48 visual analogue scale （VAS）,patient＇s overall satisfaction with the analgesic effect and adverse reactions were observed. Results The results of the two groups at each time point after was no significant difference（P〉0.05）. The overall satisfaction with the analgesic effect similar to the two groups, no statistically significant difference between the two groups（P〉0.05）. Conclusion Multi-mode loading dose of morphine combined with ropivacaine ＋ fentanyl or sufentanil ＋ lornoxicam for analgesia after lower limb amputation precise and few side effects.
出处
《中国现代医生》
2010年第6期79-80,共2页
China Modern Doctor
关键词
舒芬太尼
芬太尼
截肢手术
术后镇痛
Sufentanil
Fentanyl
Amputation
Postoperative epidural analgesia
