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连续硬膜外阻滞在无痛分娩中的应用

Consistent peridural anesthesia in painless labor

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【作者】 沈树新胡云

【Author】 SHEN Shu-xin, HU Yun (The central Hospital of the Jinshan County, Shanghai 201500, China)

【机构】 上海市金山区中心医院!上海201500

【摘要】 [目的 ] 探讨连续硬膜外阻滞在产科分娩中的镇痛效果。 [方法 ] 采用小剂量、低浓度、低位硬膜外阻滞对70例足月妊娠的产妇行分娩止痛 ,并设对照组 70例。 [结果 ] 镇痛有效率达 10 0 %。病人能安静休息并配合操作 ,两组对比差异有显著性 (P <0 .0 1)。而对产程进展、宫缩强弱、分娩分式、新生儿Apgar评分、产后出血量及产后排尿时间无明显差异 (P >0 .0 5 )。 [结论 ] 硬外麻醉用于分娩止痛安全有效 ,对产程无影响

【Abstract】 Objective To explore the analgesia effect of consistent peridural anesthesia in labor. [Methods] 140 puerperas were divided into two groups: study group and control group. Low-dose, low-concentration,low level peridural anesthesia were applied to the 70 puerperas under study. [Results] The effect of analgesia was as high as 100% in the study group, the puerperas kept calm and coorperative which differed significantly with the control group (P<0.01). There were not much difference in labor proceeding, uterine contraction, delivery manner, neonatal Apgar scores, the postpartum bleeding amount and the time of postpartum micturation between the two groups (P>0.05). [Conclusion] Peridural anesthesia is safe and effective for painless labor. It has no influence on uterine contraction.

【关键词】 硬膜外阻滞镇痛分娩
【Key words】 Peridural anesthesiaPainlessnessDelivery
  • 【文献出处】 上海预防医学杂志 ,Shanghai Journal of Preventive Medicine , 编辑部邮箱 ,2001年05期
  • 【分类号】R614.42
  • 【下载频次】22
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