胃复安在连续硬膜外麻醉中的应用

APPLICATION OF METOCLOPRAMIDE DURING EPIDURAL ANAESTHESIA

常规硬膜外麻醉后，胃肠道蠕动较活跃，加之术中牵拉作用，恶心呕吐时有发生，影响手术顺利进打和麻醉效果。本文作者选用胃复安作为术前准备药物，预防术中恶心呕吐。结果表明，在两组情况相同的腹部手术病人中，选用胃复安（0．4mg／Kg）一组病人中（共计100例），其术中恶心呕吐发生率为7％（7／100），而在不用胃复安组中，术中恶心呕吐发生率高达32．8％（21／64）。作者认为，胃复安可以用于腹部手术前的准备药物，提高手术中麻醉效果。

In the routine epidural anaesthesia, movement of gastric - intestine (G. I. )is not well b1ocked,pulling and manipulating G. I. often induce nosia and Vomiting. This affect the guality of anaesthesia and interfere the surgical procedure. As metoclopramide was known to be eftect in proventing gastcie reflection,we introduced it to subsids the incidence excitement of G. I. duving operation. In our case control study the incidence of nosia and vomiting is significantly lower in the treated group (7/100) than the contro1 group (21/64 ); Metodopramide can be considered to be used in preparing patients for G.I. operation.