罗哌卡因用于下腹部手术后硬膜外自控镇痛的评价

Assessment on Self-control Analgesia of Ropicaine with Epidural Anesthesia after Inferoir Abdomen Operation

目的 评价罗哌卡因用于下腹部手术后镇痛的有效性和不良反应。方法 6 0例择期下腹部手术患者 ,随机分为两组 ,第Ⅰ组为罗哌卡因复合PCA吗啡治疗组 ,第Ⅱ组为安慰剂复合PCA吗啡组。观察罗哌卡因镇痛效果及对运动神经阻滞的影响 ,对比两组的血液动力学变化、吗啡用量和不良反应。结果 罗哌卡因复合PCA吗啡治疗组的术后疼痛评分及不良反应明显低于安慰剂复合PCA吗啡组 ,且第Ⅰ组的吗啡用量明显低于安慰剂组。结论 0 2 %罗哌卡因复合PCA吗啡可安全有效地应用于下腹部术后的镇痛。

Objective To assess the curative effect and side effect of self-control analgesia of ropicaine. Methods 60 patients of inferoir abdomen operation were divided into group I (ropicaine and combined with complex PCA and Morphine) and group II (placebo and combined with complex PCA and Morphine). The analgesia effect and of test drug and affection of nerve blocking were observed. Hemodynamic changes in two groups, morphine dosage and side effect were analyzed. Results The score and side effect in group I were obviously lower than those in group II. The dosage of morphine in group I was lower than that in group II. Conclusion This method could be safe and effective to apply in analgesia after inferoir abdomen operation.