重度妊娠高血压征病人剖宫产术后硬膜外吗啡止痛的作用

POST-OPERATIVE EPIDURAL MORPHINE ANALGESIA FOR SEVERE PREGNANCY HYPERTENSION PATIENTS AFTER CAESARIAN SECTION UNDER EPIDURAL ANESTHESIA

摘要:

对５０例重度妊高征病人硬膜外麻醉下进行剖宫产，术后进行观察。其中３６例无止痛治疗，１４例持续性硬膜外小剂量吗啡止痛治疗。结果前者发生了３例产后子痫和４例急性左心衰，而后者则术后２４小时内无痛感，血压稳定和无产后子痫的发生。由此表明吗啡止痛能防止重度妊高征病人剖宫产术后并发症的发生。

Abstract:

Fifty cases of severe pregnancy hypertension potients were undergone Caesarian section under epidural anesthesia, and the post-operative course was observed. Continuous epidural low-dose morphine was administered in 14 cases, and no analgesic treatment was given in the rest of pahents, which was served as control. Three cases of eclampsy and 4 cases of acute left heart failure were oberved in the control group. No such cases occured in the epidural morphine group, nor was there any painful experience in the latter group, with blood pressure remained stable. The results suggest that morphine analgesia helped to prevent the occurance of post-operative complication including eclampsia and heart failre.