镇痛分娩的超声心动图观察及其临床评价  

TWO-DIMENSIONAL ECHOCARDIOGRAPHIC EVALUATION OF ANALGESIC DELIVERY

作　　者：伍晓倩[1] 黄敏丽[1] 夏似琇 徐浩仁[1] 徐德珍[1] 

机构地区：[1]上海医科大学金山医院妇产科

出　　处：《上海医科大学学报》1994年第1期15-18,共4页Journal of Fudan University(Medical Science)

摘　　要：选择健康单胎初产妇１５例，用０．２５％布比卡因作连续硬膜外镇痛分娩，并与同期入院条件相仿不用麻醉镇痛药的２８例初产妇对照，在分娩过程中用超声心动图（ＵＣＧ）对两组产妇进行观察。结果提示：用麻醉药能控制产痛、减慢心率、降低心输出量，从而减轻正常产妇在分娩过程中的心脏负荷，降低耗氧量，改善心肌代谢，保证了对周围组织及胎盘的血流灌注。对合并有心功能不全的高危产妇有更重要的临床意义。healthy, sigleton primiparae were chosen as a study group using 2.5%bubicaine epidural block anesthesia during the labour, For a control, 28 comparable primipare not using anesthesia were admitted at the same time. Two-dimensional echocardiography(UCG)was used to observe the process of labour inthese two groups.The study shows that delivery analgesis were relieving pain inlabour, decreased the heart rate and cardiac output.These results suggest that analgesic delivery can alleviate the heart load, lower oxygen consumption and improve myocardial metabolism in normal parturients these sustaining the blood perfusion in peripheral tissue and the placenta. It is especially important for those womwn in high risk for cardiac insufficiency.

关 键 词：分娩 超声心动图:麻醉 镇痛 

分 类 号：R714.3[医药卫生—妇产科学]