摘要
目的探讨单次硬膜外注入罗比卡因、芬太尼配伍地塞米松用于术后镇痛的时效。方法采用硬膜外配伍不同镇痛药液术后连续自控镇痛及单次注药镇痛。观察术后6～48 h镇痛效果及优良率、不良反应发生率。结果连续自控镇痛与单次地塞米松镇痛效果确切、持久,优于对照组(P<0.05);其优良率单次地塞米松组(97.5%)>自控组(86.7%)>对照组(60.8%),地塞米松组与对照组比较(P<0.01);不良反应发生率地塞米松组、自控组低于对照组(p<0.05)。结论低浓度罗比卡因、芬太尼、地塞米松配伍单次硬膜外术后镇痛可获得良好和持久的镇痛效果。
Objective To investigate the single epidurat injection of ropivacaine and fentanyl combined with dexamethasone for postoperative analgesia limitation. Methods The use of epidural analgesia combined with different liquid - controlled analgesia after continuous and single - injection pain, observation of analgesic effect after 6 -48 hours and excellent rates, the incidence of adverse reactions. Results Continuous - controlledanalgesia with a single precise analgesic effect of dexamethasone, lasting than comparison group （ P 〈 0. 05 ） ; It is excellent and good rate： Single dexamethasone group （97.5%） 〉 controls group（86. 7% ） 〉 control group（60. 8% ） ; Dexamethasone group compared with the control group （P 〈0. 01 ）; The incidence of adverse reactions dexamethasone group, controlled group was lower than the control group （P 〈0. 05 ）. Conclusion Low concentrations of ropivacaine, fentanyl, dexamethasone combined single postoperative epidural analgesia will be good and long - lasting analgesic effect.
出处
《中国医学创新》
CAS
2010年第6期16-17,共2页
Medical Innovation of China
关键词
地塞米松
硬膜外麻醉
术后镇痛
Dexamethasone
Epidural
Postoperative analgesia
