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经腹妇科术后舒芬太尼硬膜外镇痛的临床观察

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摘要 目的:观察经腹妇科术后应用舒芬太尼硬膜外镇痛与芬太尼硬膜外镇痛相比有无优势。方法:择期经腹妇科手术的患者90例,随机分为三组,每组30例。A组:芬太尼4μg/ml+0.2%罗哌卡因;B组:舒芬太尼0.4μg/ml+0.2%罗哌卡因;C组:舒芬太尼0.6μg/ml+0.2%罗哌卡因。3组镇痛药中均加入地塞米松5 mg。观察记录48 h内疼痛视觉摸拟法(VAS)评分、运动恢复情况、患者满意度以及不良反应等。结果:3组患者术后镇痛效果都较满意,A、B组术后8、12、24、48 h VAS评分显著高于C组(P<0.05),运动阻滞、恶心呕吐、皮肤瘙痒的发生率无显著差异。结论:舒芬太尼0.6μg/ml+0.2%罗哌卡因作为经腹妇科术后硬膜外镇痛效果好,具有明显优势。
作者 王凤会
出处 《内蒙古医学杂志》 2011年第8期974-975,共2页 Inner Mongolia Medical Journal
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