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陈敏光,王其豪,林玉冰,陈孔利,林华阳,林玮,林芩,刘飞.高乌甲素硬膜外注射术后镇痛的临床研究[J].中国中西医结合杂志,1995,(5):274-276
高乌甲素硬膜外注射术后镇痛的临床研究
Clinical Study in Epidural injection with Lappaconitine for Post-operative Analgesia
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DOI:
中文关键词:  高乌甲素  吗啡  硬膜外腔  术后镇痛
英文关键词:Lappaconitine  morphine  epidural space  post-operative analgesia
基金项目:福建省教委科技三项费用资助
作者单位
陈敏光 福建中医学院附属人民医院 
王其豪 福建中医学院附属人民医院 
林玉冰 福建中医学院附属人民医院 
陈孔利 福建中医学院附属人民医院 
林华阳 福建中医学院附属人民医院 
林玮 福建中医学院附属人民医院 
林芩 福建中医学院附属人民医院 
刘飞 福建中医学院附属人民医院 
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中文摘要:
      本研究观察了高乌甲素硬膜外腔注射术后镇痛的效能和副作用。患者50例随机分为5组,A、B、C3组为观察组,分别用高乌甲素4mg、8mg、12mg;D、E两组为对照组,分别用生理盐水6ml和吗啡2mg,于手术结束时将药液注入硬膜外腔。结果:5组镇痛的疗效和维持时间顺序为E组>C组>B组>A组>D组,其中C组能达到患者有效镇痛的基本要求,其镇痛效能虽不及E组的吗啡,但无吗啡的不良反应。表明应用高乌甲素行术后镇痛是有效和安全的。
英文摘要:
      This paper studied the effect and side-effect of Lappaconitine for post-operative analgesia with epidural injection. 50 patients who were operated in the upper abdomen with epidural anesthesia.These patients were randomly divided into 5 groups. The general condition of every group was similar.Group A,B,C was given Lappaconitine 4ml, 8ml,12ml individually for observation. Group D, E was given 0 .9% NS 6 ml and morphine 2mg individually as control. When the operation was finished the drug was injected into the epidural space with single blind method.The result showed the analgesia of the drug and its effective time was: group E>C>B>A>D.The analgesic effect of Group C was satisfactory. The efficacy and the maintenance time of A, B, C groups were significantly different from that of group D(P<0.05,P<0.01).Although the effect of group C was less potent than that of group E(morphine injection),there was no side-effect as morphine had. Itsuggested that Lappaconitine for post-operative analgesia with epidural injection is effective and safe.
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