Kiss I, Spellenberg G, Abel M
Anasth Intensivther Notfallmed. 1981 Dec;16(6):343-5.
22 patients undergoing gynaecological surgery were given general anaesthesia supplemented by epidural morphine during and after the operation. The fentanyl requirements during the operation were significantly lower than they were in a control group and postoperative administration of analgesics could be dispensed with. The method is particularly suitable for patients at risk because less anaesthetic agents are needed. Postoperative epidural opiate analgesia is also useful after epidural anaesthesia; doses of 3.0 mg of morphine produced no side-effects except pruritus.
22例接受妇科手术的患者在手术期间及术后接受全身麻醉并辅以硬膜外吗啡。手术期间芬太尼的需求量明显低于对照组,术后无需使用镇痛药。该方法特别适用于有风险的患者,因为所需麻醉剂较少。硬膜外麻醉后,术后硬膜外阿片类镇痛也很有用;3.0毫克吗啡剂量除了引起瘙痒外没有产生副作用。