2100例椎管内阻滞分娩镇痛临床研究.docVIP

2100例椎管内阻滞分娩镇痛临床研究【中图分类号】R614 【文献标识码】B 【文章编号】1672-6383(2010)11-0001-03 【摘要】目的:对2100例分娩镇痛临床资料进行回顾和分析,探讨椎管内阻滞分娩镇痛的临床应用价值。方法:596例硬膜外阻滞分娩镇痛,1540例腰-硬联合阻滞分娩镇痛。观察孕妇无创血压、心率、呼吸、脉搏血氧饱和度、宫腔压力、胎儿心率、视觉模拟评分(VAS)、改良Bromage评分、产程时间、出血量、新生儿评分、分娩方式、不良反应等。结果:腰-硬联合阻滞分娩镇痛组潜伏期缩短;0.125 %布比卡因+2μg/ml芬太尼硬膜外阻滞分娩镇痛组缩宫素使用率和剖宫产率比较高;蛛网膜下腔注射5μg～6μg,硬膜外维持用0.143 %甲磺酸罗哌卡因+0.3μg/ml舒芬太尼的腰-硬联合阻滞分娩镇痛组皮肤瘙痒率比较高。结论:椎管内阻滞分娩镇痛镇痛效果满意,不良反应少,对产妇和新生儿无不良影响。 【关键词】 分娩镇痛;蛛网膜下腔;硬膜外腔;舒芬太尼;布比卡因;罗哌卡因 2100 Zu Zhi inside the Zhui tube give birth to baby a town pain clinical analysis Quan Weibin Zhou Chaoming Lan Chengyi Peng Li 【Abstract】Purpose:The rightness is 2100 to give birth to baby a town pain the clinical data carry on review and analysis, study Zhui tube inside Zu Zhi give birth to baby town pain of clinical application value.Method:596 hard Zu Zhi outside the film give birth to baby a town pain, 1540 waist-hard consociation Zu Zhi give birth to baby town pain.Observation the pregnant woman didn’t create blood pressure, heart rate, breath, pulse blood oxygen saturation degree, temple chamber pressure, embryo’s heart rate, sense of vision imitate grade point(VAS), improvement Bromage grade point, produce distance time, bleed quantity, new born’s grade point, give birth to baby way, bad reaction etc..Result:Waist-hard consociation Zu the Zhi give birth to baby a town pain set the incubation period shorten;0.125 %Cloth ratio card because of+2 aroma of μ g/ml too the Ni hard Zu Zhi outside the film give birth to baby a town pain set Suo temple vegetable utilization rate and Pou temple produce a rate more Gao;The spider’s web film descend a chamber to inject 5 μ g the ～ be 6 μ gs, hard maintenance outside the film use 0.143% A Huang sour Mao card because of+0.3 μ g/ml comfortable aroma too the waist of Ni-hard consociation Zu Zhi give birth to baby town pain set the skin Sao Yang rate more Gao.Conclusion:The Zu Zhi in the Zhui tube give birth to baby town pain town pain effect satisfaction, bad reactio