Maniker A H, Krieger A J, Adler R J, Hupert C
Section of Neurological Surgery, UMDNJ-New Jersey Medical School, Newark 07103-2757.
N J Med. 1991 Nov;88(11):797-801.
This retrospective review permits limited conclusions due to the small sample size and the limited control of variables. The temporary prepump, percutaneous epidural catheter trial is a useful component of our protocol. This period provides important information relative to possible side effects and efficacy of pain. The trial does give an estimation for the starting point of the intrathecal dosage but, as we have demonstrated, this is, at times, at a greater dosage than previously had been predicted. We feel that this retrospective review supports the continued use of a prepump trial of epidural morphine prior to permanent intrathecal pump implantation.
由于样本量小和变量控制有限，这项回顾性研究只能得出有限的结论。临时预泵、经皮硬膜外导管试验是我们方案中的一个有用组成部分。这段时间提供了有关疼痛可能的副作用和疗效的重要信息。该试验确实给出了鞘内给药剂量的起始点估计，但正如我们所证明的，有时这个剂量比之前预测的要大。我们认为，这项回顾性研究支持在永久性鞘内泵植入前继续进行硬膜外吗啡预泵试验。
