地佐辛和吗啡剖宫产术后硬膜外镇痛的效果比较
硬膜外自控镇痛Comparison,of,Morphine,and,Dezocine,pos
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【摘要】目的比较吗啡与地佐辛用于剖宫产术后硬膜外自控镇痛的临床疗效和不良反应。方法将100例行剖宫产术的患者随机分吗啡组和地佐辛组两组。两组患者均采用硬膜外联合腰麻，术后分别使用吗啡或地佐辛施行硬膜外自控镇痛。分析比较两组患者术后4、8、12、24、48 h的镇痛效果(VAS评分)、镇静程度(Ramsay评分)及出现的恶心、呕吐、瘙痒等不良反应。结果吗啡组与地佐辛组患者镇痛效果和镇静程度比较，差异无统计学意义(P>0.05)。吗啡组不良发生率高于地佐辛组(P<0.05)。结论地佐辛用于硬膜外术后自控镇痛可取得满意的镇痛效果和较小的不良反应。
【关键词】吗啡；地佐辛；剖宫产；硬膜外自控镇痛Comparison of Morphine and Dezocine in postoperative patient-controlled epidural analgesia for patients undergone caesarean section TAN Da-hai,LI Ke-hua.Henan Hongli Hospital,Changyuan 453400,China
【Abstract】ObjectiveTo compare the clinical effects and side-effects of Morphine and Dezocine in postoperative patient-controlled epidural analgesia (PCEA).MethodsOne hundred patients undergone caesarean section were randomly divided into two groups:Morphine group(group M,n=50)and Dezocine group (group D,n=50).Group M were given Morphine for postoperative PCEA and group D with Dezocine.Visual analogue scales (VAS),Ramsay scales and side-effects including pruritus,nausea and emesis were assessed after 4,8,12,24 and 48 h of postoperative analgesia ......
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