资源描述：
《2100例椎管内阻滞分娩镇痛临床分析.doc》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、2100例椎管内阻滞分娩镇痛临床分析2100例椎管内阻滞分娩镇痛临床分析【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
2、期缩短；0.125%布比卡因+2ug/nil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5ug〜6ug,硬膜外维持用0.143%甲磺酸罗哌卡因+0.3ug/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2100ZuZhiinsidetheZhuitubegivebirthtobabyatownpainclinicalanalysisQuanWeibin
3、ZhouChaomingLanChengyiPengLi[Abstract]Purpose:Therightnessis2100togivebirthtobabyatownpaintheclinicaldatacarryonreviewandanalysis,studyZhuitubeinsideZuZhigivebirthtobabytownpainofclinicalapplicationvalue.Method:596hardZuZhioutsidethefilmgivebirthtobabyatownpain,1540wa
4、ist-hardconsociationZuZhigivebirthtobabytownpain.Observationthepregnantwomandidn'tcreatebloodpressure,heartrate,breath,pulsebloodoxygensaturationdegree,templechamberpressure,embryo'sheartrate,senseofvisionimitategradepoint(VAS),improvementBromagegradepoint,producedist
5、ancetime,bleedquantity,newborn'sgradepoint,givebirthtobabyway,badreactionetc..Result:Waist-hardconsociationZutheZhigivebirthtobabyatownpainsettheincubationperiodshorten;0.125%Clothratiocardbecauseof+2aromaofug/mltootheNihardZuZhioutsidethefilmgivebirthtobabyatownpains
6、etSuotemplevegetableutilizationrateandPoutempleproducearatemoreGao;Thespider，swebfilmdescendachambertoinject5ugthe~be6ugs,hardmaintenanceoutsidethefilmuse0.143%AHuangsourMaocardbecauseof+0.3ug/mlcomfortablearomatoothewaistofNi-hardconsociationZuZhigivebirthtobabytownp
7、ainsettheskinSaoYangratemoreGao.Conclusion:TheZuZhiintheZhuitubegivebirthtobabytownpaintownpaineffectsatisfaction,badreactionlittle,allgoodtothepregnantwomanandthenewborninfluence.[Keywords]Givebirthtobabyatownapain;Thespider'swebfilmdescendachamber;Hardchamberoutside
8、thefilm;ComfortablearomatooNi;Clothratiocardbecauseof:Maocardbecauseof总结我院自1998年至2010年2月临床资料记录完整的分娩镇痛2100例,现回顾分析如下。1.资料与方法1.
