資源描述：
《舒芬太尼與芬太尼用于硬膜外阻滯分娩鎮(zhèn)痛中的臨床比較.doc》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫(kù)。
1、舒芬太尼與芬太尼用于硬膜外阻滯分娩鎮(zhèn)痛中的臨床比較董經(jīng)緯徐銘軍岳劍寧首都醫(yī)科大學(xué)附屬北京婦產(chǎn)醫(yī)院麻醉科【摘?！磕康模罕容^舒芬太尼與芬太尼用于分娩鎮(zhèn)痛的鎮(zhèn)痛效果、對(duì)產(chǎn)程、母嬰的影響及其副作用。方法：自然分娩足月初產(chǎn)婦120例，年齡25-28歲，ASAI級(jí)，分為3組:鎮(zhèn)痛藥物S組:0.5ug/ml舒芬太尼+0.15%羅哌卡因;F組:2ug/ml芬太尼+0.15%羅哌卡因;C組:對(duì)照組，未用任何鎮(zhèn)痛方法。觀察鎮(zhèn)痛組硬膜外給藥前及給藥lOmin,30min,60min,120min,180minVAS評(píng)分，首次加藥吋間、宮口開大程度、宮縮頻率、分娩方式、產(chǎn)后出血量、催產(chǎn)素使用情況、新生兒Apgar
2、評(píng)分等。結(jié)果：與C組比較，S組和F組產(chǎn)婦鎮(zhèn)痛效果滿意(P&t;0.05)oS組和F組各時(shí)點(diǎn)VAS評(píng)分差異無(wú)統(tǒng)計(jì)學(xué)意義(p>0.05)。三組間產(chǎn)程時(shí)間、宮縮頻率、宮縮持續(xù)時(shí)間、分娩方式、產(chǎn)后出血量、催產(chǎn)素使用量、新生兒窒息發(fā)生率、剖宮產(chǎn)率及運(yùn)動(dòng)神經(jīng)的阻滯差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05),但舒芬太尼有使第一產(chǎn)程縮短的趨勢(shì)。宮口開大程度及VAS評(píng)分三組在所有時(shí)點(diǎn)差異有統(tǒng)計(jì)學(xué)意義(P<0.05)o結(jié)論：舒芬太尼用于硬膜外阻滯分娩鎮(zhèn)痛能提供良好的鎮(zhèn)痛效果，縮短活躍期產(chǎn)程，對(duì)母嬰均無(wú)不良影響。【關(guān)鍵詞】舒芬太尼;芬太尼;硬膜外麻醉;分娩鎮(zhèn)痛AStudytoSufentanilbeUs
3、edinEpiduralAnesthesiaforLaborAnalgesiaDONGJing一wetXUMing一JanYUEPan一ping.DepartmentofAnesthesiology,BeijingobstestricandgynecologichospitalaffiliatedtocapitalmedicaluniversityBeijing,100026[Abstract】Objective:Toevaluatelaboranalgesiaeffectandsafetyofepiduralanesthesiawithsufentanilascomparedwithfe
4、ntanyl.Methods:OnehimdredandtwentyASAIfulltermprimiparaswhowere25一28yearsoldandhadasinglefetuswereexpectedtohaveavaginaldeliverywererandomlydividedinto3groups:groupS(n=40),0.5ug/mlsufentanil+0.15%ropivacaine,groupsF(n=40),2ug/mlfentany1+0.15%ropivacaine,groupC(n二40),receivednoanalgesia?TheVASscore
5、,firstinjectdrugtime,cervixdilation,uterinecontractfrequency,modeofdelivery,postpartumhemorrhage,amountofoxytocinrequiredandApgarscoreofneonateswererecorded.Results:ComparedtogroupC,GroupSandGroupFhadmoreanalgesiasatisfactory(P<0.05).GroupSandGroupFwerenodiffereneeinVASscore(P>0.05).'therewa
6、snosigrdficantdiffereneeinbrithprocesstime,uterinecontractfrequency,uterinecontractduratior^modeofdelivery,postpartumhemorrhage,amountofoxytocinrequired,rateofneonataIasphyxiaandcesareansection,degreeofmotorblock(P>0.05).TherewasfirststageoflaborshortenedtendencywithGroupS.ThecervixdilationandV
7、ASscoreamongthreegroupsweresignificantdifference(P<0.05).Conclusion:Epiduralanesthesiawithsufentaniliseffectiveandsafetyforlaboranalgesia,theactivestageoflaborcanbeshortened.[Keywords]Sufentanil,Fentanyl，Epidu
