Effect of epidural analgesia with different methods on intestinal peristalsis
10.3760/cma.j.issn.1008-6706.2010.09.002
- VernacularTitle:不同镇痛方法镇痛效果及对肠蠕动的影响
- Author:
Yuhong TIAN
;
Jiali YU
- Publication Type:Journal Article
- Keywords:
Anesthesia and analgesia;
Gastrointestinal motility
- From:
Chinese Journal of Primary Medicine and Pharmacy
2010;17(9):1155-1156
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of PCEA on intestinal peristalsis.Methods 120 patients with ASA Ⅰ～Ⅱ lower abdominal or lower limbs surgery were randomly divided into four groups with 30 cases each and received PCEA at the end of operation sespectively.Group A were given 0.0002% fentanyl,0.2% Ropivacaine and 0.005 % Droperidol;0.01% morphine,0.2% Ropivacaine and 0.005% droperidol in group B;0.2% Ropivacaine in group C;0.9% saline in group D.Postoperative analgesia was provided by PCA pump with LCP model.Results Satisfactory analgesia in group A was 93%,97% in group B 47% in group C and 13% in group D.Both group A and B did not show any significant difference in the analgesic effects(P＞ 0.05).Satisfactory analgesia in group A and B were significantly better than in group C and D(P＜0.05).The renewal of intestinal peristalsis were significantly faster in lower limbs surgery patients than lower abdominal patients(P＜ 0.01),but it did not show any significant difference in the same kinds of surgery in four groups (P＞0.05).Conclusion Both group A and B can get a satisfied analgesia effect;intestinal peristalsis of lower limbs surgery patients renewed were shorter than in lower abdominal patients.
