改良低浓度长效骶管阻滞用于药物中期引产的疗效观察.pdfVIP

改良低浓度长效骶管阻滞用于药物中期引产的 疗效观察 罗先奎李小侠 【摘要】 目的探讨改良低浓度长效骶管阻滞用于药物中期引产的疗效。方法将63例中期引产产 妇按照数字表法随机分为对照组和治疗组，对照组无镇痛要求，治疗组给予镇痛治疗。对照组产妇给予米非 司酮、复方雌孕片以及乳酸依沙吖啶注射液进行引产；治疗组产妇则在对照组基础上给予0．75％盐酸布比卡 因4—7ml+2％盐酸利多卡因5lIll+0．9％氯化钠注射液15IIll+硫酸吗啡注射液2mg骶管阻滞镇痛。观察 并比较两组产妇产程及出血量，并对疼痛程度进行评估。结果治疗组产程为(5．33±3．77)h，短于对照组 学意义(t=4．63，P0．05)。结论在药物引产后采用改良骶管阻滞，镇痛效果显著，可使产程缩短，且不增 加产后出血，值得临床推广应用。 【关键词】引产；麻醉药，局部；镇痛 Observationontheeffectofmodified lowconcentrationcaudal inmedium·-term long··term blocking drug induced Luo Maternaland吼谢Health odinopoeiaXiankui，Li ofAnesthesiology，the Hospital Xiaoxia．Department of 065000，China GuangyangD如trict，Langfang，Hebei To theeffectsofmodified lowconcentrationcaudal inme- 【Abstract】Objectiveexplore long·term blocking dium-terminduced tothe receivedinducedodi· drug odinopoeia．MetllodsAccordingdigitaltable，63patients drug weredivided intothecontrol treatment control nopoeia randomly group(withoutanalgesis)andgroup(analgesis)．The treatmentre- weretreatedwithcaudal with andethacridinelactate．The group blockingmifepristone，premelle group ceivedadditionaltreatmentsof sulfate 0．75％bupivaeainehydrochloride+2％lidocainehydrochloride+morphine basedontreatmentofthecontrol durationof volumeand of werere- injection group．The labor，bleeding severitypain cordedand betweenthetwo Thedurationoflaborofthetreatment Was(5．33± compared groups．Results group WaS