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无痛分娩中腰硬联合麻醉效果观察 被引量:5

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摘要 目的:对无痛分娩中腰硬联合麻醉效果进行分析。方法:选取2008年10月—2011年10月在我院进行无痛分娩的患者62例,随机分为两组,甲组患者30例采用单纯连续硬膜外进行麻醉;乙组患者32例,采用腰麻联合连续硬膜外进行麻醉,对比分析两组患者的麻醉效果及安全可靠性。结果:乙组患者麻醉起效时间、满意度、剖宫产比例显著优越于甲组患者,差异性显著,具有统计学意义(P>0.05)。两两组患者在麻醉过程中,产妇和新生儿均没有发生因麻醉操作及麻醉用药导致严重不良反应的发生。结论:采用腰硬联合的麻醉方法进行无痛分娩的麻醉,麻醉效果好、麻醉起效迅速、无不良反应、安全有效性高,适宜临床广泛应用和开展。
作者 牟立臣
出处 《生物技术世界》 2013年第6期63-63,共1页 Biotech World
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  • 1晏馥霞,崔健君,陈华.哌替啶用于硬膜外阻滞剖宫产术中对新生儿影响的研究[J].中华麻醉学杂志,1994,14(5):372-374. 被引量:6
  • 2易三平,喻宏,孟庆新,姚尚龙.罗比卡因硬膜外阻滞行剖宫产时胎儿脐静脉血及产妇静脉血血药浓度的观察[J].临床麻醉学杂志,2005,21(11):771-772. 被引量:5
  • 3卢兰琴,卢爱金,唐志红.腰麻-硬膜外联合麻醉无痛分娩镇痛泵关闭时机的探讨[J].护理研究(上旬版),2005,19(12):2591-2591. 被引量:14
  • 4Hess PE,Pratt SD,Soni AK,et al.An association between severe labour pain and cesarean delivery.Anesth Analg,2000,90:881-886.
  • 5Knudsen K.Central nervous and Cardiovascular effects during iv infusion of ropovacaine,bupivacaine and placebo in volunteers.Br J Anaesth,1997,78:507-514.
  • 6Stacey RG,Watt S,Kadim MY,et al.Singe space combined spinal-extradural technique for analgesia in labour.Br J Anaesth,1993,71:499-502
  • 7Richardson MG.Regional anesthesia for obstetrics.Anesthesiol Clin North America,2000,18(2):383-406
  • 8Bader AM,Datta S,Flanagan H,et al.Comparison of bupivacaine and ropivacaine induced conduction blockade in the isolated rabbit vagus nerve.Anesth Analg,1989,68:724-727
  • 9Wulf H.Do "lefthanders" make better local anesthetics? The relevance of stereoisomerism in clinical practice as shown by new local anesthetics.Anaesthesist,1997,46:622-626
  • 10Kristensen JD,Karisten R,Gordh T,et al.Spinal cord blood flow after intrathecal injection of ropivaeaine:a screening for neurotoxic effects.Anesth Analg,1996,82:636-640

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  • 1曹晋彪.50例腰硬联合麻醉无痛分娩的临床效果分析[J].求医问药(下半月),2013(4):313-313. 被引量:4
  • 2Palmer CM, Cork RC, Hays R, et al. The dose-response relation of in- trathecal fentanyl for labor analgesia [J]. Anesthesiology, 1998, 88(2): 355-361.
  • 3Lim Y, Ocampo CE, Sia AT. A comparison of duration of analgesia of intrathecal 2.5 mg ofbupivacaine, ropivacaine and levobupivacaine in combined spinal epidural analgesia for patients in labor [J]. Anesthe- sia and Analgesia, 2004, 98(1): 235-239.
  • 4Celeski DC, Heindel L, Haas J, et al. Effect of intrathecal fentanyldose on the duration of labor analgesia [J]. AANA Journal, 1999, 67 (3):239-244.
  • 5Stocks GM, Hallworth SP, Femando R, et al. Minimum local anal- gesic dose of intrathecal bupivacaine in labor and the effect of in- trathecal fentanyl [J]. Anesthesiology, 2001, 94(4):593-598.
  • 6Clarke VT, Smiley RM, Finster M. Uterine hyperactivity after in- trathecal injection of fentanyl for analgesia during labour: a cause of fetal bradycardia [J]. Anesthesiology, 1994, 81(4): 1083-1083.
  • 7Cheng SL, Bautista D, Leo S, et al. Factor affecting fetal bradycardia following combined spinal epidural for labor analgesia: a matched case-control smdy[J]. J Anesth, 2013, 27(2): 169-174.
  • 8Kuczkowski KM. Severe persistent fetal bradycardia following sub- arachnoid administration of fentanyl and bupivacaine for induction of a combined spinal-epidural analgesia for labor pain [J]. J Clin Anesth, 2004, 16(1): 78-79.
  • 9Abrao K, Cfrancisco RP, Miyadabira S, et al. Elevation of the uterine basal tone and fetal heart rate abnormalities after labor analgesia: a randomized controlled trial [J]. Obstet Gynecol, 2009, 3(21): 41-47.
  • 10Mardirosoff C, Dumont L, Boulvain M, et al. Fetal bradycardia due to intrathecal opioids for labour analgesia: a systematic review [J]. British Journal of Obstetrics and Gynaecology, 2002, 109(3): 274-281.

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