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104例晚期癌痛病人,L2~3或L3~4硬膜外间隙置管并连接全封闭硬膜外注射(CCEI)装置,注射0.01%吗啡10~15ml,2~3次d,去炎松A40mgd,应用CCEI50.0±46.8(5~351)天未发现硬膜外腔感染,日均注射吗啡3.84±3.94mg和2.99±1.17次,不良反应率为7.69%,CCEI吗啡初始量3.55±2.52mgd,对照死亡前量3.49±1.63mgd无显著差异(P>0.05)。死亡前平均视觉模拟评分3.16±2.83分,对照治疗前9.78±0.92分差异显著(P<0.05)。吗啡去炎松长期CCEI具有良好解除疼痛和防止硬膜外腔感染功能,同时也减少病人吗啡用量和不良反应。
One hundred and twenty-four patients with advanced cancer pain were placed in L2 ~ 3 or L3 ~ 4 epidural space and connected with CCEI. They were injected with 10-15ml 0.01% morphine and 2 ~ 3 times d, To the A40mg d, application of CCEI50.0 ± 46.8 (5 ~ 351) Days did not find epidural infection, average daily morphine injection 3.84 ± 3.94mg and 2.99 ± 1.17 times, The adverse reaction rate was 7.69%, the initial amount of morphine in CCEI was 3.55 ± 2.52 mg d, but there was no significant difference in the amount of 3.49 ± 1.63 mg before the control (P> 0.05). The average visual analogue score before death was 3.16 ± 2.83 points, and the difference was significant (P <0.05) 9.78 ± 0.92 points before treatment. Morphine triamcinolone long-term CCEI has a good pain relief and prevent epidural infection, but also reduce the patient’s morphine dosage and adverse reactions.