期刊文献+

甲磺酸罗哌卡因复合芬太尼用于分娩镇痛的临床观察 被引量:5

下载PDF
导出
摘要 目的观察甲磺酸罗哌卡因复合芬太尼硬膜外隙间断注药用于分娩镇痛的效果。方法选择300例ASAⅠ或Ⅱ级单胎头位足月初产妇,随机分为间断硬外镇痛组(A组),硬膜外病人自控镇痛组PCEA(B组),非镇痛组(C组),每组100例。A、B两组采用0.15%甲磺酸罗哌卡因复合2ugl/ml芬太尼行硬外镇痛,A组行间断硬外给药,B组行PCEA。C组不给镇痛药物。观察各组不同时段视觉模拟评分(VAS)和宫缩情况,同时观察三组产程时间、分娩方式、催产素使用情况及新生儿Apgar评分。结果 A、B两组与C组相比较在镇痛后的产程活跃期及第二产程时的VAS差异有统计学意义(P﹤0.05),A、B两组VAS差异无统计学意义;三组产妇的第二产程时间、分娩方式、新生儿Apgar评分差异无统计学意义。结论甲磺酸罗哌卡因复合芬太尼硬膜外隙间断给药行分娩镇痛效果好,对母婴无明显不良影响。
作者 杨皎
出处 《西南军医》 2011年第2期241-242,共2页 Journal of Military Surgeon in Southwest China
  • 相关文献

参考文献6

二级参考文献37

  • 1李仁淑,严相默.罗哌卡因硬膜外病人自控镇痛的无痛分娩效果及应激反应的研究[J].中国疼痛医学杂志,2003,9(3):147-150. 被引量:17
  • 2吴贵龙,朋立超,蒋克泉,唐建国,管军华,朱烨黎,朱海红.硬膜外分娩镇痛对产妇血清泌乳素和新生儿神经行为的影响[J].临床麻醉学杂志,2005,21(3):162-164. 被引量:29
  • 3徐铭军,吴新民.分娩镇痛的现状和临床应用[J].中国实用妇科与产科杂志,2006,22(7):548-550. 被引量:116
  • 4Philipson EH,Kuhnert BR,Syracuse CD. 2-Chloroproscaine for local perineal infiltration. Am J Obstet Gynecol, 1987, 157:1275-1278.
  • 5Abboud TK, DerSarkissian L, Terrasi J, et al. Comparative maternal, fetal, and neonatal effects of chloprocaine with and without epinephrine for epidural anesthesia in obstetrics. Anesth Analg, 1987, 66: 71-75.
  • 6Kanai Y, Katsuki H, Takasaki M. Comparisons of the anesthetic potency and intracellular concentrations of S(-) and R (+) bupivacaine and ropivacaine in crayfish giant axon in vitro. Anesth Analg, 2000, 90: 415-420.
  • 7Russell R, Reynolds F. Epidural infusion of low-dose bupivacaine and opioid in labour. Does reducing motor block increase the spontaneous delivery rate? Anaesthesia, 1996,51 : 266-273.
  • 8Sia AT, Chong JL. Epidural 0. 2% ropivacaine for labour analgesia: parturient-controlled or continuous infusion? Anaesth Intensive Care, 1999,27: 154-158.
  • 92,Stienstra R,Jonker T,Bourdrez P,et al.Ropivacaine 0.25% versus bupivacaine 0.25%for continuous epidural analgesia in labor:a double-blind comparison.Anesth Analg,1995,80∶285.
  • 103,Eddleston JM,Holland TJ,Griffin RP,et al.A double-blind comparison of 0.25% ropivacaine and 0.25% bupivacaine for extradural analgesia in labor.Br J Anaesth,1996,76∶66-71.

共引文献156

同被引文献43

  • 1李一亮,彭章龙.甲磺酸罗比卡因与盐酸罗比卡因用于硬膜外阻滞的效应比较[J].临床麻醉学杂志,2004,20(10):590-592. 被引量:39
  • 2程良道,周群,陈蒙蒙,宋劼,王庆明,张惠,邓智连,张冰.甲磺酸罗比卡因用于硬膜外分娩镇痛[J].临床麻醉学杂志,2005,21(12):865-865. 被引量:11
  • 3Stienstra R,Jonker T,Bourdrez P,et al.Ropivacaine 0.25% versus bupiv acaine 0.25% for continuous epidural analgesia in labor:a double blind compari son[J].Anesth Analg,1995,80:285-289.
  • 4Eddleston JM,Holland TJ,Griffin RP,et al.A double blind compariso n of 0.25% ropivacaine and 0.25% bupivacaine for extradural analgesia in labor[J].Br J Anaesth,1996,76:66-71.
  • 5Gautier P,De Kock M,Van Steenberge,et al.A double blind comparison of 0.125% ropivacaine with sufentanil and 0.125% bupivacaine with sufent anil for epidural analgesia[J].Anesthesiology,1999,90:772-778.
  • 6DAngelo R,Gerancher JC,Eisenach JC,et al.Epidural fentanyl produces l abor analgesia by a spinal mechanism[J].Anesthesiology,1998,88:1519-1523.
  • 7LOGAN DE, CONROY C, SIEBERG CB, et al. Changes in willingness to self-manage pain among children and adolescents and their parents enrolled in an intensive interdisciplinary pediatric pain treatment program [ J ]. Pain, 2012,153 ( 9 ) : 1863 - 1870.
  • 8KAMPE S, RANDEBROCK G, KIENCKE P, et al. Comparison of continuous epidural infusion of ropivacaine and sufentanil with intravenous patient-controlled analgesia after total hip replacement [ J]. Anaesthesia,2001,56 ( 12 ) : 1181 - 1201.
  • 9CAPOGNA G, CAMORCIA M, COLUMB MO. Minimum analgesic doses of fentanyl and sufentanil for epidural analgesia in the first stage of labor[ J]. Anesth Analg,2003,96(4) : 1178 - 1182.
  • 10高宝峰,赵治涛.国产甲磺酸罗哌卡因复合芬太尼在硬膜外分娩镇痛中的应用[J].山东医药,2009,49(35):107-108. 被引量:2

二级引证文献29

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部