Effects of patient controlled epidural analgesia on gastrointestinal function recovery after operation
QIN Zai-sheng
ZHANG Fu-ming
TANG Jian-jun
WANG Yu-zhen
Abstract：Objective To study the effects of patient-controlled epidural analgesia (PCEA) with morphine and bupivacaine on gastrointestinal function recovery after operation. Methods Two-hundred and forty patients undergoing elective abdominal surgery were divided into 5 groups, and patients in groupsⅠto Ⅲ received PCEA with bupivacaine and morphine postoperatively, while patients in groups Ⅳ and Ⅴ received no analgesia after operation. The Visual Analogue Scale (VAS) 24 h after the operation was adopted and the time of first flatus noted. Results For upper abdominal surgery, the effects of PCEA with bupivacaine combined with morphine were better than that with bupivacaine alone, while for lower abdominal surgery, bupivacaine alone was enough. PCEA with bupivacaine and morphine did not delay the time of first flatus after surgery. Conclusion PCEA with bupivacaine and morphine do not delay the time for gastrointestinal function recovery in patients.
Keywords：patient controlled epidural analgesiabupivacainemorphine
Publication Date：2000-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 532-533 )