中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
13期
46-47
,共2页
布托啡诺%镇痛%产科
佈託啡諾%鎮痛%產科
포탁배낙%진통%산과
Butorphanol%Analgesia%Obstetrics
目的 观察对比布托啡诺在剖宫产术后硬膜外或静脉镇痛的效果与不良反应.方法 选择80例单胎足月妊娠孕妇,年龄19 ～38岁,ASA Ⅰ ～Ⅱ级.随机分为A、B两组,每组40例,A、B组均用布托啡诺8 mg和氟哌利多1.25 mg加生理盐水至100 ml,以2 ml/h的速度分别持续泵入,A组静脉泵入,B组经硬膜外腔泵入.记录两组产妇术后8、16、24、48 h的VAS和Ramsay镇静评分及不良反应.结果 两组患者术后不同时点VAS和Ramsay镇静评分及并发症情况比较差异均无统计学意义,且所有患者VAS评分基本都在3分以内,Ramsay镇静评分为2～3分.结论 静脉或硬膜外持续泵注布托啡诺用于剖宫产患者镇痛镇静均满意,且无呼吸抑制作用,安全性均较高.
目的 觀察對比佈託啡諾在剖宮產術後硬膜外或靜脈鎮痛的效果與不良反應.方法 選擇80例單胎足月妊娠孕婦,年齡19 ～38歲,ASA Ⅰ ～Ⅱ級.隨機分為A、B兩組,每組40例,A、B組均用佈託啡諾8 mg和氟哌利多1.25 mg加生理鹽水至100 ml,以2 ml/h的速度分彆持續泵入,A組靜脈泵入,B組經硬膜外腔泵入.記錄兩組產婦術後8、16、24、48 h的VAS和Ramsay鎮靜評分及不良反應.結果 兩組患者術後不同時點VAS和Ramsay鎮靜評分及併髮癥情況比較差異均無統計學意義,且所有患者VAS評分基本都在3分以內,Ramsay鎮靜評分為2～3分.結論 靜脈或硬膜外持續泵註佈託啡諾用于剖宮產患者鎮痛鎮靜均滿意,且無呼吸抑製作用,安全性均較高.
목적 관찰대비포탁배낙재부궁산술후경막외혹정맥진통적효과여불량반응.방법 선택80례단태족월임신잉부,년령19 ～38세,ASA Ⅰ ～Ⅱ급.수궤분위A、B량조,매조40례,A、B조균용포탁배낙8 mg화불고리다1.25 mg가생리염수지100 ml,이2 ml/h적속도분별지속빙입,A조정맥빙입,B조경경막외강빙입.기록량조산부술후8、16、24、48 h적VAS화Ramsay진정평분급불량반응.결과 량조환자술후불동시점VAS화Ramsay진정평분급병발증정황비교차이균무통계학의의,차소유환자VAS평분기본도재3분이내,Ramsay진정평분위2～3분.결론 정맥혹경막외지속빙주포탁배낙용우부궁산환자진통진정균만의,차무호흡억제작용,안전성균교고.
Objective To observe the analgesic efficacy and side effects of butorphanol intravenous or epidural continuous infusion for postoperative analgesia in cesarean section.Methods Eighty cases of singleton pregnancy women who underwent cesarean section were selected,aged from 19 to 38years,ASA Ⅰ-Ⅱ.They were randomly divided into two groups (group A and group B),with 40 cases in each group.Eight mg butorphanol and 1.25 mg droperidola were added in the analgesia pump and plus saline solution into 100 ml with respective speeds of 2 ml/h.Drugs were pumped into veins in Group A,and drugs were pumped into epidural in Group B.Ramsay,VAS scores and adverse reactions of the two groups at times 8,16,48 h after cesarean section were recorded.Results The VAS and Ramsay scores had no statistical differences between the two groups at the three different times and each patient's VAS scores was less than 3,and Ramsay scores were between 2-3.Conclusions The analgesia and sedation effects is good when butorphanol intravenous or epidural continuous infusion for postoperative analgesia in cesarean section,and has no respiratory depression,the security is high.
