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首页> 外文期刊>Anaesthesia >Appropriate length of epidural catheter in the epidural space for postoperative analgesia: evaluation by epidurography
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Appropriate length of epidural catheter in the epidural space for postoperative analgesia: evaluation by epidurography

机译：硬膜外腔中硬膜外导管的适当长度，用于术后镇痛：通过硬膜外造影评估

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摘要

In current practice, the length of epidural catheter that should be left in the epidural space is not standardised for effective postoperative analgesia. This prospective, randomised, double-blinded study aimed to determine the most appropriate length of epidural catheter that should be inserted into the epidural space for postoperative analgesia. We recruited 102 women and assigned them into three study groups (3, 5 and 7?cm insertion). An epidural catheter was inserted and epidurography was performed. Postoperatively, mean pain scores, motor and sensory levels, and any complications associated with the epidural catheter were recorded. No statistically significant difference for mean postoperative pain score was found at all study timings. Motor and sensory blockade was also statistically insignificant. Unilateral sensory analgesia developed in one patient in the 7?cm group and epidural catheter dislodgement was observed in four patients in the 3?cm group. In order to minimise catheter-related complications for postoperative analgesia, the most appropriate length that an epidural catheter should be left in the epidural space is 5?cm.
机译：在当前实践中，对于有效的术后镇痛，应留在硬膜外腔中的硬膜外导管长度尚未标准化。这项前瞻性，随机，双盲研究旨在确定最合适的硬膜外导管长度，应将其插入硬膜外腔进行术后镇痛。我们招募了102名妇女，并将她们分为三个研究组（插入3、5和7？cm）。插入硬膜外导管并进行硬膜外造影。术后记录平均疼痛评分，运动和感觉水平以及与硬膜外导管相关的任何并发症。在所有研究时间均未发现术后平均疼痛评分的统计学显着性差异。运动和感觉障碍也没有统计学意义。 7？cm组的1例患者发生了单侧感觉镇痛，3？cm组的4例患者出现了硬膜外导管移位。为了使术后镇痛的导管相关并发症最小化，硬膜外导管留在硬膜外腔的最合适长度为5？cm。

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  • 来源
    《Anaesthesia》 |2011年第10期|913-918|共6页
  • 作者

    G. Afshan; U. Chohan; F. A. Khan; N. Chaudhry; Z. E. Khan; A. A. Khan;

  • 作者单位

    Associate Professor;

    Professor;

    Instructor Department of Anaesthesia;

    Associate Professor;

    Assistant Professor Department of Obstetrics and Gynaecology Aga Khan University Karachi Pakistan;

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