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地佐辛用于剖宫产术后硬膜外镇痛中的临床观察
引用本文:杨程,闫诺,李娟. 地佐辛用于剖宫产术后硬膜外镇痛中的临床观察[J]. 海南医学院学报, 2011, 17(5): 698-699,702
作者姓名:杨程  闫诺  李娟
作者单位:武警医学院附属医院麻醉科,天津,300162
基金项目:海南医学院科研基金资助学报项目
摘    要:目的:观察地佐辛在剖宫产术后硬膜外镇痛中的效果和不良反应.方法:选择ASA Ⅰ~Ⅱ级剖宫产患者60例,随机分为两组,每组30例.M组为吗啡组:吗啡5 mg+甲磺酸罗哌卡因224 mg;D组为地佐辛组:地佐辛5 mg+甲磺酸罗哌卡因224 mg,均以生理盐水稀释至100 mL,进行硬膜外术后镇痛.采用负荷剂量+持续剂量给...

关 键 词:硬膜外镇痛  剖宫产  地佐辛  吗啡

Epidural analgesia effects of dezocine on postoperative pain after caesarean delivery
YANG Cheng,YAN Nuo,LI Juan. Epidural analgesia effects of dezocine on postoperative pain after caesarean delivery[J]. Journal of Hainan Medical College, 2011, 17(5): 698-699,702
Authors:YANG Cheng  YAN Nuo  LI Juan
Affiliation:(Department of Anesthesiology,the Affiliated Hospital of Medical College of Chinese People′s Armed Police Force,Tianjin 300162,China)
Abstract:Objective: To investigate the epidural analgesia effects of dezocine on postoperative pain after caesarean delivery and its side effects.Methods: 60 ASA Ⅰ~Ⅱ patients that underwent caesarean delivery were randomly divided into group M and group D with 30 cases in each.Group M was given morphine 5 mg + dezocine 224 mg for postoperative analgesia,while group D was given dezocine 5mg + morphine 224mg,gradients were all diluted to 100 mL with physiological saline and treated by loading-continuous administration at a dose of 2 mL/h by a pump.VAS was applied for evaluating analgesia effects and side effects of the two groups were observed.Results: Satisfactory VAS scores were shown in both groups,while significant lower incidence of nausea,vomiting and skin itching was observed in group D comparing with group M(P0.05).Conclusions: Dezocine used for epidural analgesia in postoperative pain after caesarean delivery shows better outcomes and less adverse reactions than morphine.
Keywords:Epidural analgesia  Caesarean delivery  Dezocine  Morphine
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