Dahl J B, Rosenberg J, Dirkes W E, Mogensen T, Kehlet H
Department of Anaesthesia, Hvidovre University Hospital, Denmark.
Br J Anaesth. 1990 Apr;64(4):518-20. doi: 10.1093/bja/64.4.518.
Fourteen patients undergoing colorectal surgery received an intraoperative afferent neural block with combined intrathecal and extradural local anaesthetics plus a balanced postoperative low-dose regimen of extradural bupivacaine 10 mg h-1-morphine 0.2 mg h-1 and systemic piroxicam 20 mg/24 h. Postoperative pain, assessed repeatedly during the initial 48 h, was prevented during rest, mobilization from the supine to the sitting position and during walking, in all but one patient; slight pain was observed intermittently during coughing in four patients.
14名接受结直肠手术的患者术中接受了鞘内和硬膜外联合局部麻醉的传入神经阻滞，术后采用硬膜外布比卡因10毫克/小时-吗啡0.2毫克/小时和全身性吡罗昔康20毫克/24小时的低剂量平衡方案。在最初48小时内反复评估的术后疼痛，除1名患者外，在所有患者的休息、从仰卧位转为坐位及行走期间均得到了预防；4名患者在咳嗽时有间歇性轻微疼痛。
