Modifications of the hyperglycemia and stress response to open cholecystectomy following three different analgesic techniques
- VernacularTitle:不同止痛模式对胆囊术后病人血糖及内分泌激素水平的影响
- Author:
Chunyan YAN
;
Jianguo XU
;
Sihai ZHU
- Publication Type:Journal Article
- Keywords:
Pain,postoperative;
Analgesia,patient-controlled;
Cholecystectomy;
Blood glucose;
Stress
- From:
Chinese Journal of Anesthesiology
1996;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of three different analgesic techniques on hyperglycemia and stress response to cholecystotomy so as to select a more reasonable analgesic modelMethods Thirty patients after cholecystotomy ,were randomly divided into three groups using three different analgesic techniques:postoperative intravenous morphine patient-controlled analgesia(PCA)(group M),postopetative epidural PCA(group E),and pre-emptive clonidine combined with postoperative epidurral PCA(group P)Blood glucose,plasma levels of stress hormones such as cotisol,insulin,glucagon,epinephrine and norepinephrine were measured at various timesResults All three analgesic techniques produced satisfactory pain reliefHyperglycemiawas inhibited more efficiently in group E and P than in group MThe secretions of stress hormoneswere less suppressed in group M than in other two groupsThe epidural analgesics requirement in group P was lower than in group E(P
