Karl C, Peiper D, Lühr H G
Abteilung Gynäkologie, St. Antonius-Hospitals Eschweiler.
Zentralbl Gynakol. 1993;115(12):545-9.
With the present study the risk of postoperative peridural analgesia with morphine on ordinary wards should be estimated. 50 patients undergoing gynecological laparotomies received 3 mg morphine by a peridural catheter for postoperative pain relief. The degree of postoperative pain was objectivated by a visual analogue scoring system (1-10). Mean duration of analgesia was 11 hours. The pain score ranged between 1 and 3. The acceptance was very well. Heart rate and mean arterial pressure remained stable. Blood gas analyses showed a slight increase of the pCO2 with no clinical importance. The advantages of epidural morphine are: low dose, long duration, lack of sedation and the discharge of nurses. Experienced anesthesiologists visited all patients once a day. The nurses are educated to recognize complications.
通过本研究，应评估普通病房术后硬膜外注射吗啡进行镇痛的风险。50例接受妇科剖腹手术的患者通过硬膜外导管接受3毫克吗啡以缓解术后疼痛。术后疼痛程度通过视觉模拟评分系统（1 - 10）进行客观评估。平均镇痛持续时间为11小时。疼痛评分在1至3之间。患者接受度非常好。心率和平均动脉压保持稳定。血气分析显示pCO2略有升高，但无临床意义。硬膜外吗啡的优点是：剂量低、持续时间长、无镇静作用以及减轻护士负担。经验丰富的麻醉医生每天对所有患者进行一次访视。护士接受培训以识别并发症。
