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目的 观察单次结合持续硬膜外注药用于剖宫产术后镇痛的效能。方法 100例病人术毕随机分两组,A组首量单次注药025%布比卡因、吗啡2mg及氟哌啶2mg共6mL;B组单次注药025%布比卡因、吗啡2mg及麻黄素10mg共6mL。以后两组持续以2mL/h注药025%布比卡因、吗啡4mg及氟哌啶3mg共48mL,维持24h。结果 两组病人镇痛效果良好,相比P>005,调查满意度98%,A组镇静效果术后短期相对较强;用药后30min内循环轻度抑制(P<005),寒颤发生率较高(P<005);B组病人循环则轻度兴奋(P<005)。结论 以上两种方法均是剖宫产术后镇痛可行方法,但B组方法安全性相对提高
Objective To observe the efficacy of a single combination of sustained epidural injection for analgesia after cesarean section. Methods 100 cases of patients were randomly divided into two groups. Group A received the first bolus injection of 025% bupivacaine, morphine 2mg and haloperidol 2mg, and group B received 025% bupivacaine, morphine 2mg and ephedrine 10mg total 6mL. After two groups continued injection of 2mL / h 025% bupivacaine, morphine 4mg and haloperidol 3mg a total of 48mL, 24h. Results The analgesic effect was good in both groups. Compared with P> 005, the satisfaction of the survey was 98%. The sedation effect in group A was relatively short in the short term after operation. The circulation was mildly inhibited within 30 minutes after treatment (P <005) High (P <005); patients in Group B were mildly excited (P <005). Conclusion The above two methods are feasible methods of post-cesarean section analgesia, but the safety of group B is relatively improved