鞘内注射小剂量舒芬太尼能降低罗哌卡因硬脊膜外腔分娩镇痛的有效浓度
被引量:6
摘要
蛛网膜下腔阻滞联合硬脊膜外腔阻滞麻醉(CSEA)具有起效快、镇痛完善和可持续给药的特点,已成为分娩镇痛常用的方法之一。舒芬太尼是一种脂溶性高、镇痛作用强的μ受体激动剂,其鞘内注射已安全用于分娩镇痛。
出处
《上海医学》
CAS
CSCD
北大核心
2014年第6期522-525,共4页
Shanghai Medical Journal
基金
国家自然科学基金资助项目(81271237)
参考文献13
-
1HAWKINS J L.Epidural analgesia for labor and delivery [J].N Engl J Med,2010,362(16):1503-1510.
-
2HALPERN S H,CARVALHO B.Patient-controlled epidural analgesia for labor [J].Anesth Analg,2009,108(3):921-928.
-
3SIA A T,CHONG J L,CHIU J W.Combination of intrathecal sufentanil 10 mg plus bupivacaine 2.5 mg for labor analgesia:is half the dose enough? [J].Anesth Analg,1999,88(2):362-326.
-
4ARKOOSH V A,COOPER M,NORRIS M C,et al.Intrathecal sufentanil dose response in nulliparous patients [J].Anesthesiology,1998,89(2):364-370.
-
5BUYSE I,STOCKMAN W,COLUMB M,et al.Effect of sufentanil on minimum local analgesic concentrations of epidural bupivacaine,ropivacaine and levobupivacaine in nullipara in early labour[J].Int J Obstet Anesth,2007,16(1):22-28.
-
6CHEN X,QIAN X,FU F,et al.Intrathecal sufentanil decreases the median effective dose(ED50) of intratheeal hyperbaric ropivaeaine for caesarean delivery [J].Acta Anaesthesiol Scand,2010,54(3):284-290.
-
7VAN DE VELDE M,TEUNKENS A,HANSSENS M,et al.Intrathecal sufentanil and fetal heart rate abnormalities:a double-blind,double placebo-controlled trial comparing two forms of combined spinal epidural analgesia with epidural analgesia in labor[J].Anesth Analg,2004,98(4):1153-1159.
-
8BRAGA ADE F,BRAGA F S,POTERIO G M,et al.Sufentanil added to hyperbaric bupivacaine for subarachnoid block in Caesarean section[J].Eur J Anaesthesiol,2003,20(8):631-635.
-
9DIXON W J.The up-and-down method for small samples [J].J Am Stat Assoc,1965,60(312):967-978.
-
10JORIS J L,JACOB E A,SESSLER D I,et al.Spinal mechanisms contribute to analgesia produced by epidural sufentanil combined with bupivacaine for postoperative analgesia[J].Anesth Analg,2003,97(5):1446-1451.
同被引文献78
-
1RAUCH E. Intrathecal hydromorphone for cesarean delivery: insearch of improved postoperative pain management : a casereport [J]. AANA J, 2011,79(5):427-32.
-
2ARKOOSH VA, COOPER M, NORRIS MC. Intrathecalsufentanil dose response in null-Iparous patients [J].Anesthesiology, 1998,89(2) :364-370.
-
3BUYSE I,STOCKMAN W, COLUMB M, et al. Effect ofsufentanil on minimum local analgesic concentrations ofepidural bupivacaine, ropivacaine and levobu - pivacaine innullipara in early labour [J]. Int J Obstet Anesth, 2007 ,16(1):22-28.
-
4Wang JK, Nauss LA, Thomas JE. Pain relief by intrathecally ap- plied morphine in man[J]. Anesthesiology, 1979, 50(2) : 149-151.
-
5Yaksh TL, Rudy TA. Analgesia mediated by a direct spinal ac- tion of narcotics[J]. Science, 1976, 192(4246).. 1357-1358.
-
6Prpping DM, Ella N, Marret E, et al. Opioids added to local an- esthetics for single-shot intrathecal anesthesia in patients undergo- ing minor surgery: a meta- analysis of randomized trials[J]. Pa!n, 2012, 153(4):784-793.
-
7Bujedo BM. Current evidence for spinal opioid selection in postop- erative pain[J]. Korean J Pain, 2014, 27(3) : 200-209.
-
8Prpping DM, Elia N, Wenk M, et al. Combination of a reduced dose of an intrathecal local anesthetic with a small dose of an opi- old: a meta-analysis of randomized trials [J]. Pain, 2013, 154 (8) : 1383-1390.
-
9Gauchan S, Thapa C, Prasai A, et al. Effects of intrathecal fent- anyl as an adjunct to hyperbaric bupivacaine in spinal anesthesia for elective caesarean section[J]. Nepal Med CoIl J, 2014 , 16 (1):5-8.
-
10Seetharam KR, Bhat G. Effects of isobaric ropivacaine with or without fentanyl in subarachnoid blockade: A prospective double- blind, randomized study[J]. Nnesth Essays Res, 2015, 9 (2):173-177.
引证文献6
-
1俞菊红,余叶挺.对妊娠高血压疾病产妇分娩中行硬膜外自控镇痛的疗效比较[J].中国妇幼健康研究,2018,29(12):1608-1611. 被引量:8
-
2石波,张薇薇,简文亭.盐酸氢吗啡酮复合布比卡因在腰硬联合阻滞剖宫产术中的应用[J].实用医学杂志,2016,32(3):469-471. 被引量:50
-
3吴健.阿片受体激动药物鞘内应用的研究进展[J].华南国防医学杂志,2016,30(8):550-552. 被引量:7
-
4施秀亚.无痛分娩硬膜外阻滞麻醉中罗比卡因复合小剂量芬太尼应用效果及母婴结局分析[J].中国农村卫生事业管理,2016,36(11):1457-1459. 被引量:7
-
5郑建滨,曾颖.腰-硬联合与硬膜外腔自控分娩镇痛对产程及新生儿的影响对比[J].基层医学论坛,2018,22(29):4106-4107. 被引量:6
-
6梁金凤,梁燕嫦,邓惠玲,陈彦霞,曾丽容.全程助产联合硬膜外自控镇痛在分娩镇痛中的应用研究[J].中国医药科学,2020,10(1):128-130. 被引量:8
二级引证文献84
-
1龙凤,王月玲,黄鑫,陈治君,黄翠玲.不同剂量罗哌卡因复合小剂量芬太尼在臀位外倒转中的应用观察[J].智慧健康,2021,7(34):129-132. 被引量:1
-
2单丝洁.无保护会阴助产术配合分娩镇痛对促进自然分娩的积极作用[J].智慧健康,2021,7(33):48-50. 被引量:1
-
3郭最华,余欢,王晓秋,郑芳,黄月平.分娩镇痛下采用支撑式前倾位对枕后位分娩结局的临床研究[J].中国全科医学,2021,24(S01):126-128. 被引量:2
-
4陈杰忠,陈武龙.术毕前硬膜外导管内注射氢吗啡酮对剖宫产孕妇血清应激激素、致痛物质水平的影响[J].实用妇科内分泌电子杂志,2020,7(23):36-37.
-
5杨萍.不同剂量麻醉镇痛对无痛分娩产后尿潴留的影响[J].世界最新医学信息文摘,2021(2):93-94.
-
6陈蒙蒙.布比卡因复合舒芬太尼蛛网膜下隙阻滞剖宫产术的临床分析[J].中国当代医药,2017,24(6):53-54. 被引量:5
-
7文立红,肖晓山,梁飞,李俊.盐酸氢吗啡酮应用于妇科宫腔镜检查术的临床观察[J].现代医院,2017,17(2):264-266. 被引量:3
-
8孙冰,刘江洪,李国宏.低剂量布比卡因腰硬联合麻醉在老年经皮肾镜碎石术中的效果观察[J].中国医院用药评价与分析,2017,17(4):467-468. 被引量:1
-
9陈涛,吴奕涵.盐酸氢吗啡酮的临床应用进展[J].医疗装备,2017,30(10):201-202. 被引量:6
-
10张天伟,陈曲敏,周敏,董英伟.氢吗啡酮对腰麻后寒战的预防效果观察[J].中华全科医师杂志,2017,16(6):462-465. 被引量:3
-
1陆卫升,岳中瑾.小剂量布比卡因腰麻用于前列腺汽化电切术[J].卫生职业教育,2006,24(20):60-60.
-
2乔尚奔,闫平.连续硬膜外麻醉镇痛不全的临床处理[J].内蒙古中医药,2010,29(5):84-85.
-
3姚益冰,黄东升,徐峰,黄国栋,陈云.七氟烷用于硬脊膜外腔阻滞麻醉下剖宫产术50例分析[J].上海医学,2012,35(10):886-887. 被引量:1
-
4廖常莉,张英,姜鲜.右美托咪定辅助硬脊膜外腔阻滞麻醉合适镇静深度及剂量的探讨[J].上海医学,2012,35(8):708-710. 被引量:4
-
5刘占立,张中军,刘喜成.预扩容下静脉注射血管活性药物对蛛网膜下腔阻滞麻醉后剖宫产产妇血流动力学的影响[J].上海医学,2016,39(8):499-502. 被引量:4
-
6狄静静.腰硬联合麻醉在阑尾炎切除术中的应用效果[J].中国实用医药,2016,11(2):199-200. 被引量:2
-
7朱文彪,赵建华,方志源.瑞芬太尼应用于颈丛阻滞下锁骨手术临床分析[J].苏州大学学报(医学版),2010,30(4):894-895.
-
8李庆华.瑞芬太尼联合硝酸甘油控制性降压用于鼻内镜手术的临床研究[J].浙江临床医学,2007,9(12):1698-1699.
-
9陈秀斌,朱慧琛,忻纪华,陈杰.Pleth变异性指数与蛛网膜下腔阻滞联合硬脊膜外腔阻滞麻醉下剖宫产术中低血压的相关性[J].上海医学,2013,36(4):294-296. 被引量:1
-
10秦海庆.蛛网膜下腔阻滞联合硬脊膜外腔阻滞麻醉用于下肢静脉曲张手术[J].上海医学,2014,37(6):520-521. 被引量:8