异氟醚吸人分娩镇痛对胎盘血流的影响  

Effect of isoflurane analgesia on placental circulation during delivery

作　　者：张曦[1] 程国梅[1] 李晨霞[2] 王朕华[1] 杨佩兰[1] 

机构地区：[1]河南医科大学第三附属医院妇产科,郑州450052 [2]长治医学院附属医院,长治046000

出　　处：《郑州大学学报（医学版）》2001年第1期16-18,共3页Journal of Zhengzhou University(Medical Sciences)

基　　金：河南省科技攻关基金资助项目,961200908

摘　　要：目的 :探讨异氟醚分娩镇痛对胎盘血流的影响。方法 :应用多普勒超声技术 ,对分娩活跃期异氟醚分娩镇痛观察组和对照组共 5 0例初产妇的子宫动脉和脐动脉血流速度指数用超声多普勒进行检测 ,并在胎儿娩出时取脐静脉血进行血气分析。结果 :实验前后 ,两组子宫动脉平均S D比值 ,脐动脉平均S D比值 ,差异无显著性 (P>0 .0 5 ) ;实验后两组间差异无显著性 (P >0 .0 5 )。脐静脉血气分析均在正常范围 ,两组比较差异无显著性 (P >0 .0 5 )。结论 :异氟醚分娩镇痛对胎盘血流未发现不良影响。Aim: To investigate the analgesic effect of isoflurane on placental circulation during delivery .Methods:The total of 50 primiparae were randomly divided into the observation group and control group.Both groups were treated by the same methods except the observation group was extraly given isoflurane.The flow velocity index of the uterine and umbilical arteries were recorded with a continuous wave Doppler and the blood gas of the umbilical vein blood taken from infants was analyzed.Results:There was no significant difference in the mean ratio of S/D of the uterine and umbilical arteries in the same group before and after experiment.There was no significant difference in the ratio of S/D between the two groups.After experiment,the blood gas,pH,p O 2 ,p CO 2 ,BE and SO 2 were in normal range in both groups.Conclusion:The inhalation of isoflurane has no side effect on placental circulation.

关 键 词：镇痛 产科 异氟醚 超声检查 多普勒 血流速度 胎盘 

分 类 号：R[医药卫生]