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静脉和硬膜外输注芬太尼术后镇痛对减轻术后病人生理反应的对比研究
Intravenous versus epidural fentanyl for reducing Postoperative patients’s physiologic Responses
【摘要】 目的 :观察芬太尼从静脉和硬膜外途径使用对患者术后镇痛效果和生理变化反应 ;方法 :选择 3 2例上腹部手术病人随机分为芬太尼静脉术后镇痛组和硬膜外术后镇痛组 ,对两组患者术后镇痛效果和生命体征、口腔温度、血气分析进行比较 ;结果 :表明达到同样的镇痛效果硬膜外组芬太尼组的用量只需静脉组的 50 % ,而硬膜外组能更好地减弱患者术后的生理反应 ,与静脉组对照差异显著 ;结论 :显示硬膜外腔注入芬太尼进行术后镇痛比静脉组输注芬太尼更安全有效。
【Abstract】 Objective:the author observed the pastoperative analaesia effect and physiologic responses of fentanyl given intravenous and epidural;Methods:choosing 32 cases of upperabdomen operation,at random,grouping into fentanyl pastoperative analgesia and epidural pastoperative analgesia,and comparing then in the pastoperative analgesia effects,radical signs,oral temperature and blood-gas analysis;Results:acheiving the same analgesia effect,the dosage of fentanyl in the epidural group is only half of that in the intravenous group.but fentanyl in the epidural group counld reduce the postoperative patients’s physiologic responses much more than in the intravenous group,and showd obvious difference copared with the intravenous group.Conclusion:the fentanyl given epidurally is much more safe and effective than the given intravenously. [
【Key words】 Fentanyl; Epidural; Intravenous; Postoperative analgesia; Physiologic Responses;
- 【文献出处】 内蒙古医学杂志 ,NEI MOIVGOL MEDICAL JOURNAL , 编辑部邮箱 ,2000年01期
- 【分类号】R619
- 【下载频次】13