经硬膜外麻醉患者自控镇痛对胆囊切除后肠蠕动恢复的影响

目的:研究经硬膜外麻醉患者自控镇痛(PCEA)对胆囊切除后肠蠕动恢复的影响。方法:选择择期行胆囊切除术的患者55例,随机分成术后经硬膜外患者自控镇痛组(PCEA组)和非经硬膜外患者自控镇痛(NPCEA组)。PECA组在术毕接上英国佳士比PCA泵行经硬膜外患者自控止痛,镇痛持续48h;NPCEA组在术后予传统的术后止痛。术后随访作疼痛评分,记录肠蠕动恢复时间(以肛门排气时间)和不良反应。结果:PCEA组的术后止痛效果明显优于NPCEA组;PCEA组的肠蠕动恢复时间较NPCEA组稍慢,但无显著差异(P>0.05);两组的不良反应无显著差异。结论:经硬膜外麻醉患者自控镇痛(PCEA)不但效果好,而且...

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Veröffentlicht in:Zhejiang da xue xue bao. Journal of Zhejiang University. Medical sciences. Yi xue ban 2002, Vol.31 (2), p.135-136
1. Verfasser: 周燕丰 陈才 等
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container_title Zhejiang da xue xue bao. Journal of Zhejiang University. Medical sciences. Yi xue ban
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creator 周燕丰 陈才 等
description 目的:研究经硬膜外麻醉患者自控镇痛(PCEA)对胆囊切除后肠蠕动恢复的影响。方法:选择择期行胆囊切除术的患者55例,随机分成术后经硬膜外患者自控镇痛组(PCEA组)和非经硬膜外患者自控镇痛(NPCEA组)。PECA组在术毕接上英国佳士比PCA泵行经硬膜外患者自控止痛,镇痛持续48h;NPCEA组在术后予传统的术后止痛。术后随访作疼痛评分,记录肠蠕动恢复时间(以肛门排气时间)和不良反应。结果:PCEA组的术后止痛效果明显优于NPCEA组;PCEA组的肠蠕动恢复时间较NPCEA组稍慢,但无显著差异(P>0.05);两组的不良反应无显著差异。结论:经硬膜外麻醉患者自控镇痛(PCEA)不但效果好,而且对肠蠕动恢复的影响也较小。
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subjects 硬膜外麻醉
肠蠕动
胆囊切除术
自控镇痛
镇痛
title 经硬膜外麻醉患者自控镇痛对胆囊切除后肠蠕动恢复的影响
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