期刊文献+

无痛分娩在产科中应用效果及对母婴的影响观察 被引量:10

下载PDF
导出
摘要 目的研究无痛分娩在产科中的应用效果及对母婴的影响。方法抽取2015年7月—2016年4月在我院进行自然分娩的146例产妇,根据产妇分娩意愿分为无痛组与对照组各73例。对照组采用罗哌卡因进行常规麻醉镇痛,无痛组采用芬太尼联合罗哌卡因连续硬膜外阻滞进行无痛分娩。对比观察2组产妇的分娩疼痛等级及母婴结局。结果无痛组分娩疼痛级别分布情况显著优于对照组,差异有统计学意义(P<0.05);无痛组自然分娩改剖宫产发生率为1.37%,对照组发生率为17.81%,2组比较差异有统计学意义(P<0.05);2组产妇产后出血量、Apgar评分比较差异无统计学意义(P>0.05)。结论无痛分娩在临床产科中应用价值显著,可有效降低剖宫产率,值得推广应用。
作者 覃业枝
机构地区 苍梧县人民医院
出处 《基层医学论坛》 2016年第29期4054-4055,共2页 The Medical Forum
  • 相关文献

参考文献5

二级参考文献33

  • 1Sitsen E,van Poorten F,Jansen G,et al.A comparison of the effica-cy of levobupivacaine 0.125%,ropivacaine 0.125% and ropivacaine0.2%,all combined with sufentanil 0.5 microg/mL,in patient-con-trolled epidural analgesia after hysterectomy under combined epiduraland general anesthesia[J].Acta Anaesthesiol Belg,2012,63(4):169475.
  • 2KOLTKA K,ULUDAG E,SENTURK M,et al.Comparison of equipotent doses of ropivacaine-fentanyl and bupivacaine-fentanyl in spinal anaesthesia for lower abdominal surgery[J].Anaesth Intensive Care,2009,37 (6):923-928.
  • 3CONGEDO E,SGRECCIA M,DECOSMO G.New drugs for epidural analgesia[J].Curr Drug Targets,2009,10 (8):696-706.
  • 4VAN DE VELDE M.Modern neuraxial labor analgesia:options for initiation,maintenance and drug selection[J].Rev Esp Anestesiol Reanim,2009,56(9):546-561.
  • 5CAMBIC C R,WONG C A.Labour analgesia and obstetric outcomes[J].Br J Anaesth,2010,105 (Suppl 1):i50-60.
  • 6GERANCHER J C,NAGLE P C.Management of accidental spinal administration of extended-release epidural morphine[J].Anesthesiology,2008,108 (6):1 147-1 149.
  • 7GRIFFITHS J D,BARRON F A,GRANT S,et al.Plasma ropivacaine concentrations after ultrasound-guided transversus abdominis plane block[J].Br J Anaesth,2010,105(6):853-856.
  • 8GAUTIER P,VANDEPITTE C,RAMQUET C,et al.The minimum effective anesthetic volume of 0.75% ropivacaine in ultrasound-guided interscalene brachial plexus block[J].Anesth Analg,2011,13(4):951-955.
  • 9LIN M C,HUANG J Y,LAO H C,et al.Epidural analgesia with low-concentration levobupivacaine combined with fentanyl provides satisfactory postoperative analgesia for colorectal surgery patients[J].Acta Anaesthesiol Taiwan,2010,48(2):68-74.
  • 10MATSOTA P,BATISTAKI C,APOSTOLAKI S,et al.Patient-controlled epidural analgesia after Caesarean section:levobupivacaine 0.15% versus ropivacaine 0.15% alone or combined with fentanyl2 g/ml:a comparative study[J].Arch Med Sci,2011,7(4):685-693.

共引文献91

同被引文献73

引证文献10

二级引证文献68

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