| 舒芬太尼硬膜外镇痛对胃手术患者术后尿潴留的影响 |
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| 引用本文： | 陈爱文,黄波,伍捡林,刘安林.舒芬太尼硬膜外镇痛对胃手术患者术后尿潴留的影响[J].中国现代医药杂志,2008,10(2):23-25. |
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| 作者姓名： | 陈爱文 黄波 伍捡林 刘安林 |
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| 作者单位： | 广州医学院附属深圳沙井医院麻醉科,518104 |
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| 摘 要： | 目的 观察舒芬太尼和吗啡复合罗哌卡因术后硬膜外镇痛对胃手术患者尿潴留的影响.方法 选择60例ASA 1～2级择期胃部手术成年患者,随机分为舒芬太尼组(S组,n=30)和吗啡组(M组,n=30)进行PCEA.记录术后2天患者的VAS评分,恶心呕吐、瘙痒、低血压、尿潴留等副作用.结果 S组术后排尿困难的发生率明显低于M组,P＜0.01.术后第1天S组恶心呕吐、瘙痒和低血压的发生率也低于M组,P＜0.05.结论 舒芬太尼复合罗哌卡因用于胃手术术后硬膜外镇痛时,尿潴留的发生率很低,恶心呕吐、瘙痒和低血压的发生率也低于吗啡,提示术后持续导尿并非必须.
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| 关 键 词： | 舒芬太尼 吗啡 尿潴留 罗哌卡因 舒芬太尼 术后硬膜外镇痛 手术患者 术后尿潴留 影响 Chen Operation gastric patients urinary retention ropivacaine PCEA 持续导尿 胃手术 术后第 发生率 排尿困难 结果 作用 低血压 |
| 修稿时间： | 2007年11月13 |
The effect of PCEA with sufentanil in ropivacaine on urinary retention in patients after gastric operation |
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| Chen Aiwen,Huang Bo,Wu Jianlin,et al..The effect of PCEA with sufentanil in ropivacaine on urinary retention in patients after gastric operation[J].Modern Medicine Journal of China,2008,10(2):23-25. |
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| Authors: | Chen Aiwen Huang Bo Wu Jianlin |
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| Institution: | Chen Aiwen,Huang Bo,Wu Jianlin,et al. Shajing People's Hospital,Shenzhen 518104 |
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| Abstract: | Objective To compare side-effects of epidural sufentanil in ropivacaine with that of morphine in ropivacaine focusing on lower urinary tract function after gastric operation.Methods 60 patients undergoing gastric operation were randomly allocated to receive either sufentanil in ropivacaine (Group S, n=30) or morphine in ropivacaine (Group M, n=30) for their PCEA. Epidural catheter was inserted between the 9 and 10 thoracic spine. Visual analogue pain score and side-effects such as nausea, vomiting, pruritus... |
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| Keywords: | Sufentanil Morphine Urinary retention Ropivacaine |
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