CAJ | 학술논문

目的探讨丙泊酚复合亚麻醉剂量氯胺酮在分娩镇痛中的应用.方法选择自然分娩产妇120例,采用随机数表法分为对照组和观察组.对照组采用常规蛛网膜下腔联合硬膜外自控镇痛,观察组采用丙泊酚复合亚麻醉剂量氯胺酮预处理的蛛网膜下腔联合硬膜外自控镇痛.结果两组在全过程中的VAS分数差异均无统计学意义(均P ＞0.05).观察组瘙痒发生率和瘙痒程度均显著低于对照组(均P＜0.05).两组剖宫产率和产程时间、新生儿Apgar评分差异均无统计学意义(均P＞0.05).观察组产妇总满意率显著高于对照组(P＜0.05).观察组苏醒时间(12.1±3.l)min,显著低于对照组的(13.8±3.5)min(P ＜0.05).结论丙泊酚复合亚麻醉剂量的氯胺酮在蛛网膜下腔联合硬膜外自控镇痛中可以有效减轻不良反应,且对产妇和新生儿无显著不良影响.
목적 탐토병박분복합아마취제량록알동재분면진통중적응용.방법 선택자연분면산부120례,채용수궤수표법분위대조조화관찰조.대조조채용상규주망막하강연합경막외자공진통,관찰조채용병박분복합아마취제량록알동예처리적주망막하강연합경막외자공진통.결과 량조재전과정중적VAS분수차이균무통계학의의(균P ＞0.05).관찰조소양발생솔화소양정도균현저저우대조조(균P＜0.05).량조부궁산솔화산정시간、신생인Apgar평분차이균무통계학의의(균P＞0.05).관찰조산부총만의솔현저고우대조조(P＜0.05).관찰조소성시간(12.1±3.l)min,현저저우대조조적(13.8±3.5)min(P ＜0.05).결론 병박분복합아마취제량적록알동재주망막하강연합경막외자공진통중가이유효감경불량반응,차대산부화신생인무현저불량영향.
Objective To investigate the application of propofol combined with sub-anesthetic dose of ketamine in delivery analgesia.Methods 120 cases were randomly selected and divided into two groups.Control group included 60 cases who were given PCEA and the observation group included 60 cases who were given propofol combined with subanesthetic dose of ketamine before PCEA.Results The VAS scores of two groups had no significant difference(all P ＞0.05).The rate and extent of itching of observation group were significantly lower than control group (P ＜ 0.05).Cesarean section rate and the time of the birth process,the Apgar score of two groups had no significant differ ences (all P ＞ 0.05.Total satisfaction rate of observation group was significantly higher than control group (P ＜ 0.0 5).Awakening time of observation group was (12.1 ± 3.1) min and control group was (13.8 ± 3.5) min.Awakening time of observation group was significantly lower than control group (P ＜ 0.05).Conclusion Propofol combined with subanesthetic dose of ketamine in delivery analgesia can reduce the adverse reactions.It is safe and reliable.