医学
麻醉
布比卡因
腹腔镜胆囊切除术
胆囊切除术
安慰剂
吗啡
异氟醚
生理盐水
止痛
止痛药
外科
替代医学
病理
作者
Yoshitaka Fujii,Hidenori Toyooka,Hiroyoshi Tanaka
标识
DOI:10.1046/j.1365-2346.1998.00303.x
摘要
This study was undertaken to determine whether epidural analgesia has any benefit for post-operative pain relief in patients undergoing laparoscopic cholecystectomy. Patients were randomly assigned to receive post-operative epidural analgesia with a morphine-bupivacaine combination (Group A, n = 22) or placebo (saline) (Group B, n = 22). The same standard general anaesthetic technique, which consists of nitrous oxide and isoflurane in oxygen was used. Analgesia was assessed using visual analogue pain scores (0-10 cm). The evaluation was carried out 24 and 48 h post-operatively. At 24 h after anaesthesia, pain scores in Group A (2.3 +/- 1.2) were lower than those in Group B (4.4 +/- 1.5) (P < 0.05). However, at 48 h post-operatively, no difference in scores was observed between the two groups. In conclusion, epidural analgesia with a morphine-bupivacaine combination improves pain relief during the first 24 h following laparoscopic cholecystectomy.
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