剖宫产术中硬膜外泵注不同镇痛药液的效果比较

目的比较剖宫产术中接泵以舒芬太尼或吗啡镇痛液行术后硬膜外镇痛的效果。方法选择在腰-硬联合麻醉下行剖宫产的患者60例，手术开始后15min即将硬膜外导管与一次性止痛泵连接，并按2ml／h的速度持续硬膜外腔注入不同配方的镇痛药液。根据硬膜外镇痛药配方的不同随机分为两组。SF组（n=30）：舒芬太尼0．5mg＋氟哌利多5mg＋0．125％布比卡因100ml；MF组（n=30）：吗啡5mg＋氟哌利多5mg＋0．125％布比卡因100ml。观察和比较两组术后镇痛的效果和不良反应。结果两组在各时点的平均VAS评分都小于2，说明两组的总体镇痛效果满意。术后镇痛总有效率SF组为100％，MF组为93．3％，两组患者术后镇痛疗效间差异有统计学意义（P〈0．05）；SF组的并发症也明显低于MF组（P〈0．05）。结论两组总体镇痛效果满意，但SF组并发症少优于MF组。

Clinical Effectiveness During Epidural Administration of Sufentanil and Morphine Combined with Analgesia Liquid in Postoperative Inter Obstetrics to Pump

Objective For effects of Analgesia in obstetrics postoperative, look for better curative effects. Methods Sufentanil 0. 5mg, Droperidol 5mg add 0. 125% Bupivacaine mixed liquid 100ml （SF n = 30）; Morphine 5mg, Droperidol 5mg add 0. 125% Bupivaeaine mixed liquid 100ml （MF n = 30）. Analgesic pump of only once use was randomly divided to lined with Tuber in cave of epidurial at fifteen minute after operation started, 2ml/hr persisted injection to cave of epidural. Resnits SF group total effective rate of pain relief was per sent 100. MF group total effective rate of pain relief was per sent 93.3. Combined symptom of SF group less than MF group. Condusion Obviously significantly during Two groups compared with analgesic effects, nausea and vomiting, derma itch （ P 〈0. 05）. SF group better than MF group.