局部浸润用于全凭静脉麻醉术后早期疼痛的预防被引量：1

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摘要目的:用局部浸润麻醉早期预防全凭静脉麻醉术后的切口疼痛。方法:将病人随机分成两组,每组30例Ⅰ组在术始前用0.25%的罗哌卡因10-30毫升进行切口浸润。Ⅱ组于手术结束前停用全麻药前10分钟静脉注射曲马多2mg/kg。结果:两组苏醒情况无显著性差异,苏醒时舒适度评分Ⅰ组评分在3-4者25例,Ⅱ组为14例。结论:全凭静脉麻醉的病人采取手术切口局部浸润麻醉超前镇痛,可以明显减轻术后早期切口疼痛,增加术后早期病人的舒适程度。

作者胡志强石恒林

机构地区合江县人民医院麻醉科泸州医学院附属医院麻醉科

出处《泸州医学院学报》 2008年第2期185-186,共2页 Journal of Luzhou Medical College

关键词局部浸润麻醉全凭静脉麻醉超前镇痛

分类号 R614.1 [医药卫生—麻醉学]

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1杨金凤,常业恬,周志国.丁丙诺啡、曲马多用于雷米芬太尼全麻苏醒过渡期镇痛(英文)[J].中国现代医学杂志,2005,15(10):1461-1464. 被引量：8
2Dahl JB,Kehlet H.The value of preempitive analgesia in the treatment of postoperative pain[J].BrJ Anaesth,1993;70(3): 434. 被引量：1
3刘俊杰,赵俊主编..现代麻醉学[M].北京:人民卫生出版社,1987:1569.
4庄心良等主编..现代麻醉学[M].北京:人民卫生出版社,2003:66.
5Woolf CJ,Chong MS.Preempitive analgesia treating postoperative pain by preventing the establishment of central sensization[J].Anesth Analg,1993;77(2):362. 被引量：1
6马柯,江伟.超前镇痛与背根神经节外周敏感化[J].国外医学（麻醉学与复苏分册）,2003,24(6):380-382. 被引量：61

二级参考文献39

1CAFIERO T, DI MINNO RM, SIVOLELLA G, et al. Immediate postoperative pain management in patients undergoing major abdominal surgery after remifentanil-based anesthesia: sufentanil vs tramadol[J]. Minerva Anestesiol, 2004, 70(9): 661-669. 被引量：1
2CHEN PEIHUAN, WU WEILING ,LU, ZHEN He et al. Tramadol prevent pain on emergence of general anesthesia[J]. Modern hospital, 2003, 3 (5). 43-44. 被引量：1
3TERAO Y, MIURA K, SAITO M, et al .Quantitative analysis of the relationship between sedation and resting energy expenditure in post operative patients[J]. Crit Care Med, 2003, 31(3): 830-833. 被引量：1
4TWERSKY RS, JAMERSON B, WARNER DS, et al. Hemodynamics and emergence profile of remifentanil versus fentanyl prospectively compared in a large population of surgical patients [J]. J Clin Anesth, 2001, 13(6): 407-416. 被引量：1
5JORIS J, KABA A, LAMY M. Transition between anesthesia and post-operative analgesia :Relevance of intra-operative adminstration of analgesies[J]. Acta Anesthesiol Belg, 2001, 52(3): 271-279. 被引量：1
6MINKOWITZ HS. Postoperative pain management in patients undergoing major surgery after remifentanil VS.fentanyl anesthesia.Multicentre Investigator Group[J]. Can J Anaesth, 2000, 47(6): 522-558. 被引量：1
7SCHRAUG S, KENNY GN, MOHLU, et al. Patient-maintained remifentanyl target-controlled infusion for the transition to early postoperative analgesia[J]. Br J Anaesth, 1998, 81(3): 365-368. 被引量：1
8BRACK A, BOTTIGER BW, SCHAFER M. [New insights in postoperative pain therapy]Anasthesiol Intensivmed Notfallmed Schmerzther, 2004, 39(3): 157-164. 被引量：1
9ROUGHAN JV, FLECKNELL PA. Behaviour-based assessment of the duration of laparotomy-induced abdominal pain and the analgesic effects of carprofen and buprenorphine in rats[J]. Behav Pharmacol, 2004, 15(7): 461-472. 被引量：1
10MARTUCCI C, PANERAI AE, SACERDOTE P. Chronic fentanyl or buprenorphine infusion in the mouse: similar analgesic profile but different effects on immune responses[J]. Pain, 2004, 110(1-2):385-392. 被引量：1