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布比卡因、芬太尼、葡萄糖联合用于妇产科硬膜外术后镇痛的临床观察

THE CLINICAL SURVEY ABOUT GYNECO-OBSTETRIC EPIDURAL POSTOPERATIVE ANALGESIA WITH BUPIVACAINE, FENTANYL, GLUCOSE COMBINED

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【作者】 邵义明张良清张咸伟陈书荣

【Author】 Shao Yiming; Zhang Liangqing; Zhang Xianwei; et al(Department of Anaesthesia, The Affiliated Hospital ofGuangdong Medical College, Zhanjiang 524001)

【机构】 广东医学院附属医院麻醉科!湛江524001同济医科大学附属同济医院麻醉科

【摘要】 目的:寻找一种硬膜外术后镇痛的合理药物或药物组合。方法;将31例妇产科手术后病人随机分为三级,分别从硬膜外注射0.125%的布比卡因10ml、0.125%的布比卡因+10%葡萄糖10ml、0.125%的布比卡因+10%葡萄糖+0.05mg芬太尼10ml进行术后镇痛对照现实,并进行VAS、VRS评分及呼吸循环和并发症的监测。结果:三种药物联合应用效果明显优于其它对照经,具有起效快、镇痛完全、维持时间长、副作用少等优点。结论:三者联合是硬膜外术后镇痛的较好选择。

【Abstract】 Objective: The study was conducted about postoperative epidural analgesia for pursuing a resonable administration to make postoperative analgesia safer and more convenient. Methods: Thirty-one women patients were divided randomly into three groups: groups Ⅰ patients received 0. 125% Bupivacalne 10ml, group Ⅱ paticnts reccived 0. 125% Bupivacaine 10ml plus 10% glucose 10ml,and group Ⅲ patients received 0. 125% Bupivacaine 10ml plus 10% glucose and 0. 05mg fentanyl 10ml. The complications and effects of the analgesia were surveyed. Results: The effect of analgesia in group Ⅲ was dramatically better than in other groups. It had the merits of quick effect. complete and lasting analgesia,and few side-effects. Conclusion: The administration in group Ⅲ is the best therapy for postoperative epidural analgesia.

  • 【文献出处】 广东医学院学报 ,JOURNAL OF GUANGDONG MEDICAL COLLEGE , 编辑部邮箱 ,1997年01期
  • 【分类号】R614
  • 【被引频次】11
  • 【下载频次】16
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