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수술후 통증에 대한 경막외 Morphine과 용량에 따른 Droperidol 효과
염건영(Gun Young Yeom),이승균(Sung Kyun Lee),서재 대한통증학회 1991 The Korean Journal of Pain Vol.4 No.1
N/A During the past decade the use of epidural opioids for treatment of chronic as well as postopera- tive pain has increased Epidural droperidol significantly reduced the side effects of epidural mor- phine without any appreciable toxicity, except possibly sedation. The purpose of this study was to assess the side effects and potentiation of analgesia of epidural morphine by dose-related droperidol The results were as follows: 1) Duration of analgesia and pain score ' There was no significant difference between morphine and dose-related droperidol groups. 2) Pruritus: Droperidol did not affect the incidence of pruritus with epidural morphine (P>0.05). 3) Nausea and vomiting: Significantly fewer patients experienced nausea and vomiting (16.7%) with droperidol 2.5mg(P<0.001). 4) Hypotensive episode Hypotension occurred in the groups with droperidol 1.25 mg (27. 8%) and 2. 5mg(33.3%). 5) Sedation: It there was increased severity and incidence of sedation with dose related epidural droperidol. 6) Respiratory depression: There was no patient with respiratory depression in the morphine or droperidol group. 7) Extrapyramidal symptoms and others: There was no extrapyramidal symptom in the group with morphine and 0. 25 mg droperidol, but 3 patients in the group with l.25 mg droperidol and 5 pa- tients in the group with 2. 5 mg droperidol how extrapyramidal symptoms. One patient in droperidol 2. 5 mg developed suspicious NMS. It is suggested that the use of epidural droperidol to reduce the side effects of morphine may not be appropriate.