湖北民族学院学报（医学版）
湖北民族學院學報（醫學版）
호북민족학원학보（의학판）
JOURNAL OF HUBEI INSTITUTE FOR NATIONALITIES（MEDICAL EDITION）
2014年
4期
61-63
,共3页
瑞芬太尼%自控镇痛%自然分娩%产妇
瑞芬太尼%自控鎮痛%自然分娩%產婦
서분태니%자공진통%자연분면%산부
Rui fentanyl%self-control analgesia%natural childbirth%puerperae
目的：探讨瑞芬太尼自控镇痛在自然分娩产妇中的应用。方法自然分娩患者90例随机分为瑞芬太尼组和对照组，每组各45例，对照组患者按照传统自然分娩流程进行，不使用任何镇痛措施，瑞芬太尼组在产妇宫口开至1 cm并有规律宫缩时行自控镇痛，镇痛药为瑞芬太尼20μg／mL，输注速度为0．02μg／（kg· min），产妇在规律宫缩后根据疼痛程度自己追加剂量，分别于镇痛前、镇痛后1、2 h和3 h测定两组产妇SBP、DBP和VAS评分，记录三个产程的时间、分娩过程中不良反应发生率和产后2 h出血量。结果镇痛后各时点SBP、DBP、 VAS值瑞芬太尼组均明显低于对照组（ P＜0.05，P＜0.01），瑞芬太尼组第一产程时间较对照组明显缩短（ P＜0．05），第二产程时间瑞芬太尼组较对照组明显延长（ P＜0．05），产后2 h出血量瑞芬太尼组明显少于对照组（ P＜0．05）。结论瑞芬太尼自控镇痛用于自然分娩产妇可有效缓解产妇疼痛，产后出血量减少，可在临床中广泛推广。
目的：探討瑞芬太尼自控鎮痛在自然分娩產婦中的應用。方法自然分娩患者90例隨機分為瑞芬太尼組和對照組，每組各45例，對照組患者按照傳統自然分娩流程進行，不使用任何鎮痛措施，瑞芬太尼組在產婦宮口開至1 cm併有規律宮縮時行自控鎮痛，鎮痛藥為瑞芬太尼20μg／mL，輸註速度為0．02μg／（kg· min），產婦在規律宮縮後根據疼痛程度自己追加劑量，分彆于鎮痛前、鎮痛後1、2 h和3 h測定兩組產婦SBP、DBP和VAS評分，記錄三箇產程的時間、分娩過程中不良反應髮生率和產後2 h齣血量。結果鎮痛後各時點SBP、DBP、 VAS值瑞芬太尼組均明顯低于對照組（ P＜0.05，P＜0.01），瑞芬太尼組第一產程時間較對照組明顯縮短（ P＜0．05），第二產程時間瑞芬太尼組較對照組明顯延長（ P＜0．05），產後2 h齣血量瑞芬太尼組明顯少于對照組（ P＜0．05）。結論瑞芬太尼自控鎮痛用于自然分娩產婦可有效緩解產婦疼痛，產後齣血量減少，可在臨床中廣汎推廣。
목적：탐토서분태니자공진통재자연분면산부중적응용。방법자연분면환자90례수궤분위서분태니조화대조조，매조각45례，대조조환자안조전통자연분면류정진행，불사용임하진통조시，서분태니조재산부궁구개지1 cm병유규률궁축시행자공진통，진통약위서분태니20μg／mL，수주속도위0．02μg／（kg· min），산부재규률궁축후근거동통정도자기추가제량，분별우진통전、진통후1、2 h화3 h측정량조산부SBP、DBP화VAS평분，기록삼개산정적시간、분면과정중불량반응발생솔화산후2 h출혈량。결과진통후각시점SBP、DBP、 VAS치서분태니조균명현저우대조조（ P＜0.05，P＜0.01），서분태니조제일산정시간교대조조명현축단（ P＜0．05），제이산정시간서분태니조교대조조명현연장（ P＜0．05），산후2 h출혈량서분태니조명현소우대조조（ P＜0．05）。결론서분태니자공진통용우자연분면산부가유효완해산부동통，산후출혈량감소，가재림상중엄범추엄。
Objective to study the application of Rui fentanyl self-control analgesia in natural childbirth puerperae.Methods 90 natural childbirth puerperae were randomly divided intoRuiFent-anyl group and control group, 45 cases in each group.The control group was taken by the tradi-tional natural birth process without any analgesia measures.When the puerperae palace opened to 1 cm and had regular contractions in the Rui fentanyl group, the self-control analgesia was adopted.The analgesicswere Rui Fentanyl ( including 20μg) and the infusion speed was 0.02μg (kg· min).Thepuerperae can add analgesia according to the degree of pain after regular contractions.The SBP,DBP,and VAS scores were written respectively before the analgesia,1,2 h and 3 h after analgesia.The birth process times, the incidence of adverse reactionsand the process of childbirth and the bleeding postpartum 2 h were recorded.Results The SBP,DBP and VAS scores in the RuiFentanyl group in each stageafter analgesia were significantly lower than those in the control group ( P<0.05,P<0.01) .The first labor time in the Rui Fentanyl group was significantly shortened (P<0.05) and the second labor time was obviously longer than that in the control group ( P<0.05) .The bleeding in theRuiFentanylpostpartum 2 h was significantly less than that in the control group ( P<0.05) .Conclusions The application of Rui Fentanyl self-control analgesia in natural childbirth puerperae can relieve the pain and reduce the amount of postpar-tum hemorrhage.It can be widely popularized in clinic.
