瑞芬太尼静脉自控镇痛麻醉用于产妇分娩镇痛效果探讨

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1、瑞芬太尼静脉自控镇痛麻醉用于产妇分娩镇痛效果探讨【摘要】日的：探讨瑞芬太尼静脉自控麻醉应用于产妇分娩中的镇痛效果及产生的不良反应。方法：将经笔者所在医院检查适于阴道分娩并愿意接受麻醉镇痛的60例足月健康初产妇作为实验研究对象。将采用瑞芬太尼静脉自控镇静麻醉的30例产妇作为观察组，将采用硬膜外阻滞自控镇痛麻醉的30例产妇作为对照组。比较两组产妇不同镇痛方式下的镇痛效果、各产程时间、不良反应发生率、器械助产率、剖宫产率、催产素使川率。比较两组新生儿Apgar评分。结果：两组产妇的镇痛效果、剖宫产率、催产素使用率比较差异无统计学意义（

2、P>0・05）。观察组产妇的第一产程和第二产程明显小于对照组（P〈0.05）；观察组产妇在镇痛过程有I木I倦情况发生，镇静程度高于对照组（P〈0・05）；其低血氧饱和度发生率高于对照组（P〈0.05）,其他不良反应发生率两组相似；对照组产妇的器械助产率更高，与观察组比较差异有统计学意义（P〈0・05）。两组新生儿Apgar评分相似。结论：瑞芬太尼静脉自控镇痛麻醉虽然存在不良反应但均可缓解，対孕妇和胎儿不会造成影响，可以用于产妇的分娩镇痛中。【关键词】瑞芬太尼；静脉自控镇痛；分娩镇痛中图分类号R714.3文献标识码A文章编号167

3、4-6805（2014）30-0003-03TheAnalgesicEffectInvestigateofPCIARemifentanilAnesthesiaforMaternity/nUANGXin,GAOQi-jun,WANGYue-ling,etal.//ChineseandForeignMedicalResearch,2014,12(30)：3~5【Abstract]Objective：Toinvestigatetheadversereactionandchi1dbirthanalgesiaeffectofpatient

4、scontrolledintravenousanesthesiaRemifentanilformaternity.Method：60casesofearlymaternalhealthinhospitalaftercheckingapplytovaginaldeliveryandwillingtoacceptthetermnarcoticanalgesicwereasexperimentalsubjects.ThecontrolledintravenoussedationusingRemifentanilanesthesiain

5、30womenwereastheobservationgroup,epiduralanalgesiaanesthesia30womenservedascontrolgroup.Analgesiaanalgesiawerecomparedunderdifferentmothers,eachlabortime,incidenceofadversereactions,instrumentaideliveryrate,cesareanrate,oxytocinusage,Apgarscorewerecompared.Result：The

6、twogroupsofmaternalanalgesia,cesareanrate,oxytocinusageweresimilar,thedifferenceswerenosignificantdifferenee(P>0.05).Maternalfirststageandsecondstageoflaborintheobservationgroupweresignificantlylessthanthoseinthecontrolgroup(P<0.05)；observationgroupmaternalanalgesiad

7、rowsinessoccurs,thedegreeofsedationwashigherintheobservationgroupthanthatinthecontrolgroup(P<0.05)；theincideneeofoxygensaturationwashigherintheobservationgroupthanthatinthecontrolgroup(P<0.05),otheradversereactionsweresimilarincidenee,mothersinstrumentaldeliveryratei

8、nthecontrolgroupwashigherthanthatintheobservationgroup(P<0.05)・Apgarscorewassimilarintwogroups.Conclusion：PCTARemifentanilanesthesi