硬膜外吗啡对选择性背神经根切断术术后疼痛的控制。

M L Sparkes, A S Klein, A C Duhaime, J P Mickle
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引用次数: 27

摘要

选择性背根切断术治疗痉挛后,术后疼痛控制是一个主要问题。我们报告使用硬膜外吗啡通过导管放置在手术术后镇痛的28个连续的病人。使用该技术疼痛得到很好的控制,没有患者需要同时进行肠外镇痛。术后早期无呼吸抑制、创面感染、中枢神经系统抑制,患者活动自如。硬膜外吗啡是选择性脊神经根切断术后一种安全、有效的镇痛方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Use of epidural morphine for control of postoperative pain in selective dorsal rhizotomy for spasticity.

Postoperative pain control can be a major problem after selective dorsal rhizotomy for the treatment of spasticity. We report the use of epidural morphine delivered via a catheter placed at surgery for postoperative analgesia in 28 consecutive patients undergoing this procedure. Pain was well controlled using this technique, and no patients required concomitant parenteral analgesia. There were no instances of respiratory depression, wound infection, or central nervous system depression, and the patients were easily mobilized in the early postoperative period. Epidural morphine is concluded to be a safe and very efficacious method of analgesia after selective dorsal rhizotomy.

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