摘要
目的：探讨酒石酸布托啡诺辅助硬膜外麻醉对剖宫产新生儿的影响。方法：选择ASAⅠ-Ⅱ级术前无宫内窘迫的剖宫产患者80例,随机分成两组各40例。A组为因硬膜外阻滞不全而辅用酒石酸布托啡诺0.5mg;B组硬膜外阻滞满意。胎儿娩出前不用辅助药。观察新生儿1、5、10分钟Apgar评分和术后1周的评估;术中BP、HR、SpO2变化和呼吸抑制、头晕、恶心等不良反应。结果：观察新生儿评分,术后1周的评估;术中MAP、HR、SpO2变化和呼吸抑制、头晕、恶心等不良反应,说明酒石酸布托啡诺对胎儿及新生儿是安全的。结论：酒石酸布托啡诺可用于手术镇痛,不仅能有效镇痛,而且对产程和新生儿无明显影响。
Objective：The purpose of this research is to discuss the effects of using butorphanol tartrate in postoperative epidural analgesia for cesarean delivered newborn.Methods：80 caesarean patients without preoperative fetal distress（ASAⅠ～Ⅱgrade）were divided into two groups （each group 40 cases）.Group A,due to the failure of epidural block,butorphanol tartrate 0.5mg was used for continuous dose.Group B was sucesssful with epidural block, so there was no need to use adjuvant medicines before the birth of the infant.Newborn＇s Apgar scores in one minute,five minutes,and ten minutes,subsequent visit one-week after surgery,the variety of BP,HR,SpO2 during operation; and side effects（such as respiratory depression,dizziness and sicchasia etc）were observed.Results：The inspection of newborn＇s Apgar scores,subsequent visit one-week after surgery,the variety of BP,HR,SpO2 during operation,and side effects（such as respiratory depression,dizziness and sicchasia etc）proved that using butorphanol tartrate was safe for fetus and newborn infants.Conclusion：Butorphanol tartrate can be used in labor analgesia,which is effective analgesia and there is no severe side effects on birth process and newborn infants.
