术后持续硬膜外镇痛对肠功能恢复的影响

目的:观察术后持续硬膜外布比卡因混合吗啡镇痛对肠功能恢复的影响。方法:选择6 0例胃肠手术患者随机均分为两组:对照组为传统哌替啶肌注镇痛;实验组为布比卡因复合吗啡术后持续硬膜外镇痛。记录患者术后镇痛效果、肠鸣音恢复情况、肛门排气时间、恶心、呕吐等。结果:实验组镇痛效果明显优于对照组(P <0 .0 1) ;术后肠鸣音恢复、排气时间两组基本相同(P >0 . 0 5 )。结论:持续硬膜外低浓度布比卡因混合吗啡用于胃肠手术后镇痛效果良好,对术后肠功能恢复无明显影响。

Effect of Postoperative Continuous Extradural Analgesia on Intestine Function

Objective: To evaluate the effect of postoperative continuous extradural analgesia on intestine function.Methods:60 cases performed stomach and bowel operation were randomly divided into two groups.Control group received traditional intramuscular injection of pethidine.Experiental group received continuous extradural analgesia with morphine and bupivacaine.The effect of postoperative analgesia,recovery time of gurgling sound and exufflation,nausea and vomitus were recorded in two groups.Results:The effect of analgesia in experimental group is markedy superior to that in control group (P<0.01).The recovery time of gurgling sound and exufflation was similiar in both groups.Conclusion:Postoperative continuous extradural analgesia with morphine and bupivacaine is effective,with less influence in intestine function.