花轮小丸子
Objective: To evaluate the analgesia effect of para vertebral nerve block (PVB) post nephrectomy. Methods: Sixty patients undergoing simple nephrectomy (age 35-65 years old, both genders, weight 45-80 kg, ASA grade I or II) were randomly divided into two groups using the table of random numbers: the control group and the PVB group, with 30 patients in each group. For both groups, patients were given intravenous infusion of ropivacaine 250 ml post operation and intravenous morphine patient-controlled analgesia. Six, 12, 24 and 48 hours post operation, blood gas analysis was conducted and VAS scores under quiet and exercising conditions were assessed. The cumulative morphine usage and cases of complications were calculated at 48 hours post : Compared with control group, PVB group had a significant higher PaO2 and lower PaCO2. There were significant differences in VAS scores under exercising condition while no difference under quiet condition between two groups. In PVB group, the cumulative morphine usage decreased, there were fewer cases of nausea, vomiting, pruritus and orthostatic hypotension, and the first flatus time post operation was shortened (P<). Conclusions PVB analgesia post nephrectomy may reduce the usage of morphine and the incidence of complications.问题:CEA的英文全称未给出,故翻译时未采用此缩写。方法中未说明PVB何时及如何实施。吗啡辅助镇痛没查到有assist的翻译,一般就直接说patient controlled analgesia,或其后加pump。
温江成都银行
Objective: the curative effect of continuous paravertebral nerve block analgesia evaluation after nephrectomy. Methods: the quasi simple nephrectomy in 60 patients, ASA grade I or II grade, age 30 to 65 years of age, body weight 45 ~ 80 kg, sex not limited. Using the method of random number table, the patients were divided into 2 groups: control group (group CEA) and continuous paravertebral nerve block group (group PVB), 30 cases of each group. The two groups were continuous infusion of ropivacaine 250ml, and the use of intravenous morphine patient-controlled analgesia assisted. After 6, 12, 24 and 48 h, respectively, blood gas, and to assess the quiet and motion state of the VAS scores, statistics at 48 h after operation, two groups of patients with total amount of morphine and complications of case number. Results: compared with CEA group, PVB group, PaO2 increased, PaCO2 decreased, in a quiet state no difference in VAS score, significant differences in the state of motion, reduce the number of cumulative dosage of morphine, nausea, vomiting, skin itching, orthostatic hypotension, postoperative anal exhaust time interval to first short (P < ). Conclusion: open nephrectomy after using PVB analgesia and CEA analgesia can reduce postoperative morphine consumption, low rate of complications.
心晴joanny
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