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舒芬太尼与芬太尼在腰硬联合阻滞麻醉分娩镇痛中的比较 被引量:23

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摘要 目的:比较舒芬太尼与芬太尼用于分娩镇痛的效果。方法:选择初产妇150例分成3组,A组应用舒芬太尼、B组用芬太尼,均行腰麻-硬膜外联合麻醉(combinedspinal-epiduralanesthesia,CSEA)+病人自控镇痛(patientcontrolledanesthesia,PCA)。C组不行镇痛。观察镇痛组镇痛效果及副作用,并与C组比较产程情况及对新生儿的影响。结果:各产程情况3组间差异无显著性。两镇痛组间,在5min和90minVAS评分A组均小于B组,首次需加药时间A组长于B组,差异均有显著性。对新生儿影响,3组间差异无显著性。副作用两镇痛组间差异无显著性。结论:舒芬太尼用于分娩镇痛能提供良好的镇痛效果,与芬太尼相比,起效更快,镇痛更强,持续时间更长。
出处 《实用医学杂志》 CAS 2006年第10期1206-1207,共2页 The Journal of Practical Medicine
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