期刊文献+

右美托咪定复合瑞芬太尼在引产镇痛中的效果 被引量:9

下载PDF
导出
摘要 硬膜外镇痛已广泛用于引产产妇镇痛,但对于有椎管内穿刺禁忌和不愿意接受椎管内穿刺的产妇,通常采用瑞芬太尼静脉镇痛,然而瑞芬太尼的镇痛效果不够确切,个体差异较大,随着剂量增加,恶心呕吐、呼吸抑制发生率较高.右美托咪定是一种选择性α2肾上腺素受体激动药,具有镇静、镇痛、抗交感等作用.右美托咪定和阿片类药物伍用具有阿片药物节约效应并增加阿片药物镇痛、镇静效果.本研究观察右美托咪定复合瑞芬太尼在引产镇痛中的效果,现报道如下.
出处 《临床麻醉学杂志》 CAS CSCD 北大核心 2014年第8期817-818,共2页 Journal of Clinical Anesthesiology
  • 相关文献

参考文献8

  • 1Shen MK,Wu ZF,Zhu AB,et al.Remifentanil for labour analgesia:a double-blinded,randomised controlled trial of maternal and neonatal effects of patient-controlled analgesia versus continuous infusion.Anaesthesia,2013,68(3):236-244.
  • 2Hall JE,Uhrich TD,Barney JA,et al.Sedative,amnestic,and analgesic properties of small-dose dexmedetomidine infusions.Anesth Analg,2000,90 (3):699-705.
  • 3尚宇,龙晓宏,高光洁,徐迎阳,于瑶,侯雪.右美托咪定辅助舒芬太尼用于胃癌术后静脉镇痛的剂量探讨[J].临床麻醉学杂志,2013,29(3):247-250. 被引量:70
  • 4冯善武,徐世琴,曹艳,王万根,刘昱升,汪福洲,赵青松,沈晓凤.雷米芬太尼静脉全程分娩镇痛联合导乐陪伴对母婴的影响[J].江苏医药,2010,36(6):661-663. 被引量:9
  • 5Etches RC.Respiratory depression associated with patientcontrolled analgesia:a review of eight cases.Can J Anaesth,1994,41(2):125-132.
  • 6Gerlach AT,Murphy CV.Dexmedetomidine-associated bradycardia progressing to pulseless electrical activity:case report and review of the literature.Pharmacotherapy,2009,29(12):1492.
  • 7Ebert TJ,Hall JE,Barney JA,et al.The effects of increasing plasma concentrations of dexmedetornidine in humans.Anesthesiology,2000,93(2):382-394.
  • 8Abu-Halaweh SA,Al Oweidi AK,Abu-Malooh H,et al.Intravenous dexmedetomidine infusion for labour analgesia in patient with preeclampsia.Eur J Anaesthesiol,2009,26 (1):86-87.

二级参考文献13

  • 1吴镜湘,陈明,赵丽丽,梁昌毅,徐美英.胸科手术后舒芬太尼静脉镇痛的剂量探讨[J].临床麻醉学杂志,2007,23(1):22-23. 被引量:50
  • 2Jones R, Pegrum A, Stacey RG. Patient-controlled analgesia using remifentanil in the parturient with thrombocytopaenia[J]. Anaesthesia, 1999,54(5) :461-465.
  • 3Volikas I, Butwick A, Wilkinson C, et al. Maternal and neonatal side-effects of remifentanil patient-controlled analgesia in labour[J]. Br J Anaseth, 2005,95 (4) : 504-509.
  • 4Kan RE, Hughes CS, Rosen MA, et al. Intravenous remifentanil: placental transfusion maternal and neonatal effects[JT. Anesthesiology, 1998,88(6) : 1467-1471.
  • 5Owen MD, Poss MJ, Dean LS, et al. Prolonged intravenous remifentanil infusion for labor analgesia [J]. Anesth Analg, 2002,94(4) : 918-919.
  • 6Baleioglu O, Akin S, Demir S, et al. Patient-controlled intravenous analgesia with remifentanil in nulliparous subjects in labour[J]. Expert Opin Pharmacother, 2007, 8 (18): 3089- 3096.
  • 7Barratt SM, Smith RC, Kee AJ, et al. Multimodal analgesia and intravenous nutrition preserves total body protein follow ing major upper gastrointestinal surgery. Reg Anesth Pain Med, 2002,27(1) : 15-22.
  • 8Lin TF, Yeh YC, Lin FS, et al. Effect of combining dexmedeto midine and morphine for intravenous patient controlled analge sia. Br J Anaesth,2009,102(1) : 117-122.
  • 9Massad IM, Mohsen WA, Basha AS, et al. A balanced anesthe sia with dexmedetomidine decreases postoperative nausea and vomiting after laparoscopic surgery. Saudi Med J, 2009, 30 (12):1537-1541.
  • 10Donfas AG, Lin CM, Suleman MI, et al. Dexmedetomidine and meperidine additively reduce the shivering threshold in humans. Stroke,2003,34(5): 1218-1223.

共引文献76

同被引文献64

引证文献9

二级引证文献49

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