摘要
目的 观察术后病人应用自控硬膜外镇痛（ＰＣＥＡ）的镇痛效应及其对胃肠功能的影响。方法 将２４０例腹部手术病人随机分为５组，Ⅰ～Ⅲ组病人术后应用不同药物配方和剂量的ＰＣＥＡ，Ⅳ、Ⅴ组病人术后无镇痛，记录其术后２４ｈ视觉模拟评分Ｖｉｓｕａｌ ａｎａｌｏｇｕｅ ｓｃａｌｅ，ＶＡＳ）及首次肛门排气时间。结果 对于上腹部手术，术后ＰＣＥＡ联合用吗啡和布比卡因效果较好：对于下腹部手术，术后单用布比卡因ＰＣＥＡ即可。全部病人术后首次肛门排气时间无显著延长。结论 对于６０岁以下的病人，术后适量吗啡、布比卡因ＰＣＥＡ效果好，不延长术后胃肠功能恢复的时间。
Objective To study the effects of patient-controlled epidural analgesia (PCEA) with morphine and bupivacaine on gastrointestinal function recovery after operation. Methods Two-hundred and forty patients undergoing elective abdominal surgery were divided into 5 groups, and patients in groupsⅠto Ⅲ received PCEA with bupivacaine and morphine postoperatively, while patients in groups Ⅳ and Ⅴ received no analgesia after operation. The Visual Analogue Scale (VAS) 24 h after the operation was adopted and the time of first flatus noted. Results For upper abdominal surgery, the effects of PCEA with bupivacaine combined with morphine were better than that with bupivacaine alone, while for lower abdominal surgery, bupivacaine alone was enough. PCEA with bupivacaine and morphine did not delay the time of first flatus after surgery. Conclusion PCEA with bupivacaine and morphine do not delay the time for gastrointestinal function recovery in patients.
出处
《第一军医大学学报》
CSCD
2000年第6期532-533,共2页
Journal of First Military Medical University
