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瑞芬太尼静脉自控镇痛在分娩中的应用研究 被引量:11

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摘要 目的:探讨瑞芬太尼经静脉自控镇痛在分娩中的镇痛效果以及对产程及母婴的影响。方法:对60例产妇分娩时实施瑞芬太尼静脉自控镇痛(实验组)并与60例硬膜外自控镇痛产妇(硬膜外组)、60例不采用任何辅助镇痛措施的产妇(传统分娩组)进行比较。结果:实验组镇痛效果评定级别为优(0级)23例,良(1级)31例,一般(2级)6例,差(3级)0例。实验组潜伏期、活跃期及第二产程较硬膜外组、传统分娩组缩短,3组产妇剖宫产率、阴道助产率及新生儿Apgar评分无统计学差异(P>0.05),脐动脉血气分析未见异常,无新生儿的宫内缺氧及产后窒息发生。结论:瑞芬太尼经静脉自控镇痛效果确切,有助于加快产程,无孕妇呼吸循环抑制及低氧血症发生,对胎儿无不良影响。
出处 《广西医科大学学报》 CAS 2011年第6期882-884,共3页 Journal of Guangxi Medical University
基金 南宁市科技局科技攻关项目(No.zc200708c)
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  • 1张熙哲,吴新民.雷米芬太尼呼吸抑制的半数有效血浆浓度的临床研究[J].临床麻醉学杂志,2006,22(11):807-809. 被引量:25
  • 2Lavand'homme P, Roelants F. Patient-controlled intravenous analgesia as an alternative to epidural analgesia during labor: questioning the use of the short-acting opioid remifentanil. Survey in the French part of Belgium (Wallonia and Brussels ) [ J]. Acta Anaesthesiol Belg,2009,60(2 ) :75 - 82.
  • 3Beers R, Camporesi E. Remifentanil update:clinical science and utility[ J]. CNS Drugs,2004,18(15) :1085 -1104.
  • 4Glass PS, Can TJ, Howell S. A review of the pharmaeokinetics and phacodynamics of remifentanil [ J ]. Anesth Analg, 1999,89 ( 4 Suppl) :S7 -S14.
  • 5Ross AK, Davis PJ, Dear Gd GL, et al. Pharmacokinetics of remifentanil in anesthetized pediatric patients undergoing elective surgery or diagnostic procedures [ J]. Anesth Analg, 2001,93 ( 6 ) : 1393 - 1401.
  • 6Kan RE, Hughes SC, Rosen MA, et al. Intravenous remifentanil : placental transfer, maternal and neonatal effects[ J]. Anesthesiology, 1998,88 (6) : 1467 - 1474.
  • 7Volikas I, Butwick A, Wilkinson C, et al. Maternal and neonatal side-effects of remifentanil patient-controlled analgesia in labour [ J ]. Br J Anaesth ,2005,95 (4) :504 - 509.
  • 8Jones R, Pegrum A, Stacey RG. Patient-controlled analgesia using remifentanil in the parturient with thrombocytopaenia[ J ]. Anaesthesia, 1999,54(5 ) :461 -465.
  • 9Olufolabi A J, Booth JV, Wakeling HG, et al. A preliminary investigation of remifentanil as a labor analgesic [ J ]. Anesth Analg,2000,91 (3) :606 -608.
  • 10Lavand'homme P, Veyckemans F, Roelants F. Remifentanil is a valuable alternative to contraindicated neuraxial analgesia in parturients [ J ]. Anesth Analg,2001,92 ( 5 ) : 1355.

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