Effects of patient controlled epidural analgesia on gastrointestinal function recovery after operation

VernacularTitle:自控硬膜外镇痛对术后胃肠功能的影响
Author: Zai-Sheng QIN ¹ ; Fu-Ming ZHANG ; Jian-Jun TANG ; Yu-Zhen WANG
Author Information

1. Nanfang Hospital First Military Medical University
Keywords: patient controlled epidural analgesia; bupivacaine; morphine
From: Journal of Southern Medical University 2000;20(6):532-533
CountryChina
Language:Chinese
Abstract: Objective To study the effects of patient-controlled epidural analgesia (PCEA) with morphine and bupivacaine on gastrointestinal function recovery after operation. Methods Two-hundred and forty patients undergoing elective abdominal surgery were divided into 5 groups, and patients in groupsⅠto Ⅲ received PCEA with bupivacaine and morphine postoperatively, while patients in groups Ⅳ and Ⅴ received no analgesia after operation. The Visual Analogue Scale (VAS) 24 h after the operation was adopted and the time of first flatus noted. Results For upper abdominal surgery, the effects of PCEA with bupivacaine combined with morphine were better than that with bupivacaine alone, while for lower abdominal surgery, bupivacaine alone was enough. PCEA with bupivacaine and morphine did not delay the time of first flatus after surgery. Conclusion PCEA with bupivacaine and morphine do not delay the time for gastrointestinal function recovery in patients.