腰椎间盘术后曲马多静脉自控镇痛的疗效观察
Medical Information(Section of Operative Surgery)(2008)
Abstract
目的观察腰椎间盘术后病人采用曲马多静脉自控镇痛(PCIA)的镇痛效果级对血压、呼吸的影响。方法100例腰椎间盘手术病人,随机分为静脉自控镇痛组(Ⅰ组n=50)和肌注用药镇痛组(Ⅱ组n=50),Ⅰ组术后行曲马多静脉自控镇痛。Ⅱ组术毕肌注盐酸哌替啶1mg/kg止痛。分别记录两组病例在用药治疗期间的心率、血压、血氧饱和度、镇痛效果以及副作用的发生率。结果Ⅰ组病例镇痛效果良好,镇痛有效率达100%,Ⅱ组为56.1%。结论曲马多静脉自控镇痛效果确切,优于肌肉注射给药镇痛。
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