Comparison of patient-controlled analgesia and epidural morphine following gynecological surgery
- VernacularTitle:静脉注射吗啡病人自控镇痛与经硬膜外吗啡镇痛的观察
- Author:
Yongfang JIN
;
Yuguang HUANG
;
Xiangyang GUO
;
Zhumin GE
;
Hongzhi REN
;
Tiehu YE
;
Ailun LUO
- Publication Type:Journal Article
- Keywords:
Analgesia,patient-controlled;
Epidural;
Morphine
- From:
Chinese Journal of Anesthesiology
1996;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To compare the efficacy and side effects of patient-controlled intravenous morphine with epidural single bolus morphine in postoperative pain relief. Method: Sixty patients undergoing gynecological procedures under epidural anesthesia were randomly assigned to epidural morphine(EPI)group or patient-controlled intravenous analgesia (PCIA) group. In the EPI group,2 mg of morphine was injected into epidural space at the end of operation. In PCIA group, 1 mg of morphine as a demand dose would be injected intravenously by the patient through a patientcontrolled analgesic delivery system until the pain relieved. The patients were followed up at 4, 8, 12, 24 h after operation,and the degree of pain,sedation, nausea and vomiting were assessed. Result: The total dosage of morphine was higher in the PCIA group(19.08?5.0 mg)than that in the EPI group(2mg,P
