<原著>開腹術後痛に対する術後3日間の硬膜外モルヒネ投与の検討

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The purpose of this study was to determine the efficacy of morphine epidurally administered for three days for pain control after abdominal surgery. One hundred and five patients undergoing upper abdominal surgery and seventy five patients undergoing lower abdominal surgery were anesthetized with general anesthesia combined with epidural anesthesia. Twenty five patients undergoing lower abdominal surgery were anesthetized with spinal anesthesia combined with epidural anesthesia. Morphine chloride (2mg) was diluted in 10ml saline and administered through an epidural catheter placed at the segmental level appropriate for the type of the surgery. All patients were administered morphine immediately after emergence from an anesthesia, and at 9 am and 9 pm on the first and the second postoperative davs. 88.8% patients were satisfied immediately after surgery, and no patients felt postoperative pain after the second day of the surgery. The number with pain was significantly higher (p<0.01), in the upper laparotomy group than in the lower laparotomy group, and in women than in men. Urinary retention occurred in four patients, itching in two patients, nausea and vomiting in ten patients. The tip of the epidural catheter was examined bacteriologically after last epidural injection in 105 cases, and the only one case was positive. In conclusion, epidurally administered morphine chloride for three days had beneficial effects on the patients after abdominal surgery.
近畿大学の論文
1989-12-25

<原著>開腹術後痛に対する術後3日間の硬膜外モルヒネ投与の検討

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