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曲马多硬膜外腔或肌肉注射用于术后镇痛的观察与比较
引用本文:徐伟 胡和平. 曲马多硬膜外腔或肌肉注射用于术后镇痛的观察与比较[J]. 临床麻醉学杂志, 1996, 12(4): 198-199
作者姓名:徐伟 胡和平
作者单位:Xu Wei,et al Department of Anesthesiology,Yichun People's Hospital,Jiangxi
摘    要:本文通过40例硬膜外腔麻醉行中、上腹部手术后硬膜外腔注入曲马多(ET)与肌肉注射曲马多(MT)100mg的观察比较发现,ET组舒张压下降有显著性(P<0.05),两组的镇痛效果及副作用的出现相似(P>0.05),镇痛起效时间ET组快于MT组(P<0.001),镇痛维持时间ET组短于MT组(P<0.05),24h内重复注药次数的发生率ET组高于MT组(P<0.05),且ET组多数病人有带管不适感。表明曲马多术后镇痛选用MT法更具优越性

关 键 词:镇痛 曲马多 手术后

Postoperative Pain relief with Tramadol Given Epidurally or Intramuscularly
Xu Wei,et al. Postoperative Pain relief with Tramadol Given Epidurally or Intramuscularly[J]. The Journal of Clinical Anesthesiology, 1996, 12(4): 198-199
Authors:Xu Wei  et al
Affiliation:Xu Wei,et al Department of Anesthesiology,Yichun People's Hospital,Jiangxi
Abstract:he effect of tramadol 100mg given either epidurally (group ET,n=20) or intramuscularly(group MT,n=20) for postoperative pain relief was compared in 40 patients undergoing upper abdominal surgery.It was found that analgesic action and side effect of both groups were similar.DBP in group ET was decreased significantly.The onset of analgesia was quicker and analgesia lasted shorter in group ET than that in group MT.The patients in group ET needed more repeated injections via the epidural catheter than that in group MT in the first postoperative 24h,indicating that it is better to use tramadol i.m.for postoperative pain relief.
Keywords:Analgesia Tramadol  
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