CAJ | 학술논문

目的探讨产程潜伏期加用维生素B6-叶酸合剂对腰麻-硬膜外自控镇痛分娩效果及母婴的影响.方法将112例单胎、足月初产妇分为对照组和观察组两组.两组均采用腰麻-硬膜外自控镇痛分娩,观察组加用维生素B6-叶酸合剂,对比两组镇痛效果、镇痛起效时间、芬太尼使用量、新生儿Apgar评分等.结果观察组镇痛起效时间及芬太尼用量均少于对照组,差异均有统计学意义(P＜0.05).结论潜伏期给予维生素B6-叶酸合剂可能有助于缩短腰麻起效时间并减少芬太尼麻醉药品的剂量.
목적 탐토산정잠복기가용유생소B6-협산합제대요마-경막외자공진통분면효과급모영적영향.방법 장112례단태、족월초산부분위대조조화관찰조량조.량조균채용요마-경막외자공진통분면,관찰조가용유생소B6-협산합제,대비량조진통효과、진통기효시간、분태니사용량、신생인Apgar평분등.결과 관찰조진통기효시간급분태니용량균소우대조조,차이균유통계학의의(P＜0.05).결론 잠복기급여유생소B6-협산합제가능유조우축단요마기효시간병감소분태니마취약품적제량.
Objective To evaluate the effect of labor analgesia and the outcome of maternals and neonatals by applying the vitamin B6- folic acid mixture to combined with spinal-epidural analgesia(CSEA) in nulliparous women at latency.Methods All the 112 full-term nulliparous parturients were selected and divided into the treated group and controlled group.Nulliparous women in two groups received CSEA,with which the additional vitamin - folic acid mixture was used only in treatment group.The contrast between the analgesic effect in groups,and alalgesic effect-acting period,fentanyl Apgar score and newborn usage were compared between groups also.Results The analgesic effect-acting period and fentanyl dosage in the treated group were significantly decreased.There was significant difference between the 2 ( P ＜ 0.05 ).Conclusions It could be effective applying vitamin B6- folic acid mixture at latency in nulliparous women based on CSEA,which could shorten the lumbar hemp effect-acting period and reduce fentanyl narcotic drugs dosage.