中国药业
中國藥業
중국약업
China Pharmaceuticals
2015年
21期
43-44
,共2页
芬太尼%罗哌卡因%硬膜外腔麻醉阻滞%妊娠期高血压%分娩镇痛
芬太尼%囉哌卡因%硬膜外腔痳醉阻滯%妊娠期高血壓%分娩鎮痛
분태니%라고잡인%경막외강마취조체%임신기고혈압%분면진통
fentanyl%ropivacaine%epidural anesthesia%pregnancy induced hypertension%labor analgesia
目的 观察罗哌卡因复合芬太尼硬膜外麻醉分娩镇痛对于子痫前期患者母婴结局的影响.方法 选取2011年1月至2015年1月医院收治的妊娠期高血压选择经阴道分娩产妇156例,其中硬膜外麻醉组(研究组)86例,无分娩镇痛组(对照组)70例.结果 研究组易耐受产痛者(轻度+中度疼痛者)占94. 18%,明显高于对照组的 25. 71% ( P < 0. 01 );研究组第1产程活跃期[(207. 16 ± 30. 33)min ]及第2产程[(30. 48 ± 4. 25)min ] ,明显短于对照组( P < 0. 05 );研究组顺产率为69. 77%,明显高于对照组的60. 00%( P < 0. 05 );两组经阴道分娩新生儿出生后 1 min和5 min阿氏( Apgar )评分比较,差异无统计学意义( P > 0. 05 ) .结论 罗哌卡因复合芬太尼硬膜外麻醉分娩镇痛应用于子痫前期患者,有镇痛效果好、对新生儿影响小、不良反应发生率低等优点,可阻止高血压进一步恶化,减少患者产时并发症,提高产妇经阴道分娩率.
目的 觀察囉哌卡因複閤芬太尼硬膜外痳醉分娩鎮痛對于子癇前期患者母嬰結跼的影響.方法 選取2011年1月至2015年1月醫院收治的妊娠期高血壓選擇經陰道分娩產婦156例,其中硬膜外痳醉組(研究組)86例,無分娩鎮痛組(對照組)70例.結果 研究組易耐受產痛者(輕度+中度疼痛者)佔94. 18%,明顯高于對照組的 25. 71% ( P < 0. 01 );研究組第1產程活躍期[(207. 16 ± 30. 33)min ]及第2產程[(30. 48 ± 4. 25)min ] ,明顯短于對照組( P < 0. 05 );研究組順產率為69. 77%,明顯高于對照組的60. 00%( P < 0. 05 );兩組經陰道分娩新生兒齣生後 1 min和5 min阿氏( Apgar )評分比較,差異無統計學意義( P > 0. 05 ) .結論 囉哌卡因複閤芬太尼硬膜外痳醉分娩鎮痛應用于子癇前期患者,有鎮痛效果好、對新生兒影響小、不良反應髮生率低等優點,可阻止高血壓進一步噁化,減少患者產時併髮癥,提高產婦經陰道分娩率.
목적 관찰라고잡인복합분태니경막외마취분면진통대우자간전기환자모영결국적영향.방법 선취2011년1월지2015년1월의원수치적임신기고혈압선택경음도분면산부156례,기중경막외마취조(연구조)86례,무분면진통조(대조조)70례.결과 연구조역내수산통자(경도+중도동통자)점94. 18%,명현고우대조조적 25. 71% ( P < 0. 01 );연구조제1산정활약기[(207. 16 ± 30. 33)min ]급제2산정[(30. 48 ± 4. 25)min ] ,명현단우대조조( P < 0. 05 );연구조순산솔위69. 77%,명현고우대조조적60. 00%( P < 0. 05 );량조경음도분면신생인출생후 1 min화5 min아씨( Apgar )평분비교,차이무통계학의의( P > 0. 05 ) .결론 라고잡인복합분태니경막외마취분면진통응용우자간전기환자,유진통효과호、대신생인영향소、불량반응발생솔저등우점,가조지고혈압진일보악화,감소환자산시병발증,제고산부경음도분면솔.
Objective To observe the effect of ropivacaine combined with fentanyl for epidural anesthesia analgesia for patients with preeclampsia pregnancy outcome. Methods 156 patients from January 2011 to January 2015 with high blood pressure during pregnancy were selected,including 86 cases of epidural anesthesia group ( study group ) and 70 cases without labor analgesia group ( control group ) . Results In the study group,94. 18% ( mild and moderate pain ) were significantly higher than those in the control group ( 25. 71%) ,the difference was significant ( P < 0. 01 ) . In the study group,the activity of first stages of labor ( 207. 16 ± 30. 33 ) min ] and 2 ( 30. 48 ± 4. 25 ) min ] was significantly shorter than that of the control group,the difference was statistically significant ( P > 0. 05 ) . Research group of vaginal eutocia rate 69. 77% ( highest ) ,was significantly higher than that of the control group ( 60. 00%) ,the difference was statisti-cally significant ( P < 0. 05) . There was no significant difference between the two groups ( P > 0. 05) and 1 Apgar (5 min) min after birth. Conclusion Ropivacaine combined with fentanyl for epidural anesthesia used in labor analgesia in patients with preeclampsia, analgesic effect,little side effect and the incidence of low influence on neonatal, can prevent the further deterioration of hypertension, reduce the complications in patients with preeclampsia,improve the delivery rate of pregnant women with hypertension.
