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布比卡因复合芬太尼硬膜外阻滞麻醉用于分娩镇痛的临床观察

Clinical study on the anesthetic effect of epidural bupivacaine together with fentanyl during delivery
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摘要 目的观察低浓度布比卡因复合芬太尼硬膜外阻滞麻醉用于分娩镇痛对胎儿和新生儿的安全性及对产程的影响。方法分析比较镇痛组和对照组之间三产程的差异以及两组胎窘发生率和手术产率的差异。结果镇痛组和对照组之间三产程、胎窘发生率和新生儿窒息率均无显著差异(P>0.05)。结论低浓度布比卡因复合芬太尼硬膜外麻醉用于分娩镇痛不影响产程进展,不影响胎窘发生率和新生儿窒息率,是一种镇痛效果好、安全的分娩镇痛法。 Objective:To investigate the anesthetic efficacy of epidural low concentration bupivacaine together with fentany1 during delivery and their safety to the newborn. Methods:To compare the duration of three stages of labor and the incidence of fetal and neonatal asphyxia between the study group and control group.Results:(a) There was no significant difference in labour process between the 2 groups (P>0.05). (b) There was no significant difference in the incidence of fetal and neonatal asphyxia between the 2 groups (P>0.05). (c) Abnormal fetal position was the main reason for operation in the present study. Conclusion:Epidural low concentration bupivacaine together with fentany1 during delivery is safe and effective. It do not interfere with the progression of labor and do not increase the incidence of fetal and neonatal asphyxia.
出处 《上海医药》 CAS 2002年第4期165-166,共2页 Shanghai Medical & Pharmaceutical Journal
关键词 布比卡因 芬太尼 硬膜外阻滞麻醉 分娩镇痛 临床观察 bupivacaine fentany1 anesthesia during delivery
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二级参考文献2

  • 1李仲廉,临床疼痛治疗学(第2版),1998年,425页
  • 2刘俊杰,现代麻醉学(第2版),1997年,307页

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