术前硬膜外注射芬太尼加氟哌利多与超前镇痛

Pre-emptive Analgesia with Preoperative Epidural Injection of Fentanyl and Droperidol

目的:探讨硬膜外注射芬太尼加氟哌利多超前镇痛的可行性。方法:40例剖宫产随机分成2组,各20例。Ⅰ组:芬太尼0.05mg、氟哌利多1.25mg切皮前注入硬膜外腔;Ⅱ组:芬太尼0.05mg、氟哌利利多1.25mg胎儿取出时注入硬膜外腔。术后应用PCEA泵,记录首次按压时间,第6、12和24h的按压次数,肛门排气时间,相关并发症。结果:两组术后首次按压时间,24h内各时段的按压次数和肛门排气时间均无显著差异(P>0.05)。结论:术前硬膜外注射芬太尼0.05mg加氟哌多1.25mg无超前镇痛作用。

Objective: To investigate the effect of pre-emp ive analgesia produced by preoperative epidural injection of fentanyl and droperidol Methods: 40 patients undergoing caesarean section were randomly divided into two groups. Fentanyl 0.05 mg and droperidol 1.25 mg were injected into epidural space before the skin incision (group I ) or at the time the foetus was taken out (group II ). The first time that the burton was pressed, the number of PCEA demands during the first 24h and the time of intestinal function recovery were observed and recorded. RESULTS: There were no significant differences between the two groups in the postoperative pain and intestinal function recovery ( P > 0.05). Conclusion:There was no pre-emptive analgesic effect to be found in the study.