摘要
目的研究在分娩镇痛中运用小剂量布比卡因复合芬太尼单次腰麻的临床效果。方法选择2012年2月~2013年12月分娩的80例孕妇,根据自愿原则分为两组,对照组的40例孕妇自然分娩,观察组的40例孕妇在无椎管内麻醉和自然分娩禁忌症的情况下实施镇痛分娩。观察组运用2.5 mg布比卡因和10μg芬太尼进行单次腰麻,单次腰麻的麻醉时间即可完成整个分娩过程,对照组患者不实施任何镇痛措施;比较两组产妇的镇痛效果、产程时间等指标。结果观察组产妇镇痛效果显著优于照组低,两组患者差异显著,有统计学意义（p〈0.01）;观察组产妇产程明显短于对照组,两组产妇差异显著,有统计学意义（p〈0.05）。结论对于宫口开大4~5 cm的产妇运用小剂量布比卡因复合芬太尼实施单次腰麻能够发挥镇痛效果,可加快产程进展,对胎儿无不良反应,可以在临床上推广使用。
Objective To study the use of low-dose bupivacaine spinal anesthesia with fontanel single clinical effect in labor analgesia. Methods The hospital select February 2012 ~ December 2013 delivery of 80 cases of pregnant women,divided into two groups on a voluntary basis,40 cases of pregnant women in the control group of natural childbirth,40 cases of pregnant women in the observation group and the non- spinal anesthesia implementation case of natural childbirth analgesic contraindications. Observation group using 2. 5 mg of bupivacaine and 10 μg fontanel single spinal anesthesia,spinal anesthesia single time to complete the entire delivery process,the control group of patients without the imposition of any analgesic measures; comparing two groups of maternal analgesia,labor time and other indicators. Results The analgesic effect of maternal control group was significantly lower than,the two groups were significantly different,statistically significant（ p 0. 01）; observation group was significantly shorter than the maternal birth process control group,a significant difference between two groups of women,there was significance（ p 0. 05）. Conclusion For the cervix 4 ~ 5 cm of maternal use of low- dose bupivacaine and fontanel implementation can play a single spinal analgesia,can speed up the progress of labor,no adverse reactions to the fetus,it is clinically widely used.
出处
《现代医院》
2014年第5期52-53,共2页
Modern Hospitals
基金
广东省医学科研基金课题立项非资助项目(编号:A2008761)
关键词
小剂量布比卡因
芬太尼
单词腰麻
分娩镇痛
临床应用
Small doses of bupivacaine
Fontanel
Spinal word
Analgesia
Clinical applications
