新斯的明加小剂量吗啡注入硬膜外用于术后镇痛的临床观察

The clinical observation on postoperative demulcent effect with Neostigmine plus Morphine

目的为了解新斯的明加小剂量吗啡术后镇痛的效果。方法选择ASAⅠ -Ⅱ级剖宫手术病人 15 0例 ,随机分为三组(每组 5 0例 ) ,对术后镇痛效果进行临床观察。结果新斯的明加小剂量吗啡术后镇痛效果和镇痛时间明显优于吗啡 ,而且大大降低了术后度冷丁的用量。结论新斯的明加小剂量吗啡注入硬膜外用于术后镇痛 ,其镇痛效果及作用时间明显优于吗啡 ,副作用无明显增加 ,是一种比较简单、安全、经济。

Objective To acquaint the postoperative demulcent effect of Neostigmine plus little dose of Morphine. Method 150 ASA Ⅰ Ⅱ laparouterotomy patients were divided into three groups to be kept observation on the demulcent effect. Result Neostigmine plus Morphine is significantly superior to Morphine on demulcent effect and time, and the dose of Pethidine is decreased. Conclusion Neostigmine plus Morphine is a simple, safe, economical, practical method because the demulcent effect and time is superior to Morphine while side effect isn't obviously increased.