硬膜外腔注射小剂量吗啡、芬太尼用于术后镇痛的比较观察

The Effects of Epidural Morphine or Fentanyl in Postoperative Analgesia

对比观察６２例上腹部手术病人术后硬膜外腔注射吗啡和芬太尼的镇痛效果与并发症。结果发现吗啡有较强的镇痛效果，有效镇痛时间为３６．１２±１３．１４ｈ．但并发症多，主要是尿潴留和排尿困难以及恶心呕吐；芬太尼硬膜外腔注射虽然并发症少，但镇痛效果差，有效镇痛时间为７．１３±１１．１２ｈ，镇痛时间与生理盐水对照组比较无统计学意义。

The efficacy of postoperative analgesia and complications induced by either epidural morphine or fentanyl were compared in 62 upper abdominal surgical patients. The results revealed that epidural morphine had favorable pain relief with effective analgesic time of 36.12 ± 13.14 hours, with some complications such as retention of urine, nausea and vomiting. The epidural fentanyl had few complications, but it had no reliable effect of pain relief, the time of analgesia being 7.13±11.12 hours.