摘要
作者对２４例胸科手术病人（食道、贲门、肺癌、ＡＳＡⅠ～Ⅱ级，ＥＣＧ异常１３例，肺功能异常３例）术前预置硬膜外导管，术后病人诉疼痛时经导管注入２ｍｇ吗啡镇痛治疗，观察记录镇痛治疗前、后呼吸循环功能各项指标分别为：ｆ（ｂｐｍ）２１．８３３±０．９２６，１６．５８３１０．５６０；ＶＴ（ｍｌ）２８１．６６７±１７．０５３，３７８．３３３±１８．９９３；Ｖｃ（ｍｌ）７２２．９１７±３７．１０３，９６６．６６７±５２．７０４；ＳｐＯ２（％）９７．６２５±０．３５５，９８．２０８±０．３２４；ＨＲ（ｂｐｍ）８５．５±２．４３８，７６．７５±２．３２８；ＭＡＰ（ｋＰａ）１３．９８６±０．２７８，１１．７５±０．２９６；ＲＰＰ１６９２．５４２±５５．４９１，１２１４．６２５±４９．４７６；前后比较各项Ｐ值均＜０．０１。结果表明：经镇痛治疗后呼吸循环功能明显好转或改善，且１２ｈ完全镇痛率达１００％、４８ｈ镇痛率为８７．５％、全组未用其它任何镇痛治疗，无呼吸抑制或严重低血压发生。因此，作者认为本法具有用药量小、镇痛效果确切可靠持久、呼吸循环功能稳定、有利胸科术后康复等特点。
xtradural catheters were placed in 24 surgical patients with intrathoracic diseases.Morphine hydrochloride 2mg was injected through the catheter if painoccurs after operations. RespiratiOn and circulation were observed be-fore and after the drug administration。 The results show that the respiration and circulation were improved signifi-cantly after analgetic treament and no respiratory depression or severe hypotension was recorded. It is concludedthat this method has the advantages of low drug dose and better pain-relieve effect, which is helpfuI to thepatients’recovery.
出处
《临床麻醉学杂志》
CAS
CSCD
北大核心
1995年第5期279-281,共3页
Journal of Clinical Anesthesiology
