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경막외 Morphine의 첨가제로 사용한 Fentanyl과 Bupivacaine의 술후 진통효과 비교
안선연(Sun Yeon An),손 용(Yong Son),정영표(Young P 대한통증학회 1997 The Korean Journal of Pain Vol.10 No.2
N/A Backgound: The present study was undertaken to determine whether fentanyl or bupivacaine is a better adjuvant to epidural morphine with respect to postoperative analgesic use and with fewer incidence of side effects. Methods: We evaluated the clinical effects in 62 patients having cesarean section, divided in 3groups randomly. Group I(n 19) was received epidural marphine 4 mg, group II(n=22) was received epidural morphine 2 mg plus fentanyl 50 μg and group III(n=21) was received morphine 2 mg plus 0.25% bupivacaine 10 ml epidurally. We measured the first request time of analgesic for postoperative pain, the number of supplemental analgesics within 24 hours and the incidence of side effects postoperatively. Results: The first request time of analgesic for postoperative pain was significantly shorter in group III than in group I and IL The analgesic use in the first 24 hours was significantly more in group III than in group I and II. The side effects were significantly fewer incidence in group II than in group I and III. Conclusions: In conclusion, the combined use of epidural morphine and fentanyl provided better analgesia than the combined of epidural morphine and bupivacaine.
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