不同浓度布托啡诺用于静脉分娩镇痛对母婴的影响

Different concentrations of butorphanol for intravenous analgesia in labor on maternal and child

目的观察不同浓度布托啡诺用于静脉分娩镇痛对母婴的影响。方法选取2010年5月至2012年5月十堰市妇幼保健院收治的单胎、足月产妇80例,按布托啡诺用药浓度的不同分为不同组别(A组:0.06%;B组:0.08%;C组:0.1%),另选择同期收治的不用分娩镇痛的产妇为对照组,比较各组镇痛效果及对母婴的影响。结果 A、B、C组产妇在治疗过程中均取得了比较满意的术后镇痛效果,静脉自控泵注浓度为0.1%布托啡诺对于活跃期产妇镇痛效果更确切,不良反应发生率低。不同浓度布托啡诺用于静脉分娩镇痛对新生儿评分的影响差异无统计学意义(P>0.05)。结论不同浓度布托啡诺用于剖宫产手术镇痛均安全有效,且不良反应少。尤其静脉自控泵注浓度为0.1%布托啡诺不但具有更好的镇痛效果,对母婴影响小。

Objective To observe the different concentrations of butorphanol for intravenous analgesia in labor on mater- nal and child. Methods A single births of our hospital from May 2010 to May 2012,80 cases of full - term maternal, butorphanol drug concentrations were divided into different groups （A group：0.06% ; B group：0.08% ; Group C： O. 1% ）, and the other the same period treated without maternal labor analgesia for the control group, each group analge- sic effect and impact on maternal and child. Results A, B, C group maternal during treatment quite satisfactory postop- erative analgesia, controlled intravenous infusion concentration of 0. 1% butorphanol analgesic effect of the active phase of maternal exact incidence of adverse reactions rate. Different concentrations of butorphanol for intravenous analgesia in la- bor newborn score difference was not statistically significant （ P 〉 0.05 ）. Conclusion Different concentrations butor- phanol are safe and effective for cesarean section analgesia and adverse reactions. Particularly controlled intravenous in- fusion concentration of 0. 1% butorphanol not only has a better analgesic effect, a small impact on maternal and child.