硬膜外分娩镇痛药物配方及用药时机的临床研究  

The Improved Analgesic Birth Mode by Epidural Block

作　　者：朱向晖[1] 

机构地区：[1]菏泽医学专科学校附属菏泽市立医院,山东菏泽274031

出　　处：《菏泽医学专科学校学报》2005年第4期27-30,共4页Journal of Heze Medical College

摘　　要：目的观察硬膜外分娩镇痛用药方式改进后的临床效果。方法 90例单胎足月孕产妇,随机分三组:Ⅰ组不采取任何镇痛措施,Ⅱ组和Ⅲ组均采用PCEA。Ⅱ组产程结束即停止镇痛。Ⅲ组于宫口9cm时暂停镇痛泵,胎儿娩出后重新启动并使用至产后24h;配制0．2％耐乐品、5μg／ml芬太尼复合液,分别于宫口 3cm、6～8cm、胎儿娩出前推注3～5ml／次。记录各组呼吸、循环的变化情况、镇痛效果、产程、不良反应、新生儿评分及产妇满意度。结果Ⅲ组镇痛优,呼吸、循环平稳、明显缩短第一产程活跃期,不延长第二产程,对母婴无不良影响,孕产妇安静、满意度高。结论改进硬膜外分娩镇痛用药方式后,镇痛效果更优,孕产妇满意度更高。Objective To observe the clinical effect on two analgesic birth modes by epidural block. Methods 90 pregnant women were randomly divided into three groups. Group Ⅰ were not administered any labor analgesia. Group Ⅱ and Group Ⅲ were administered PCEA. Group Ⅱ ： Painless birth were finished when the labor eourse were over. Group Ⅲ Analgesic pumps were stopped as scon as the cervixes were 9cm dilated and had been used again from the delivery of the baby to 24h ;when the cervixes were 3cm, 6 - 8cm and before the birth of the babies, 3 - 5ml/dosc mixed fluid （0.2 % Rop ＋ 5ug/ml Fent） was injected into the epidural space. Their results were taken a comparative study, including changers of MAP,HR, RR and SpO2,analgesic efficacy,labor court, side effect, condition of the newborn and satisfaction .scorn. Results The analgesic birth of Group Ⅲ is .safe and effective, which can accelerate the progres.s of the active phase and has no influences on the mothers and infants. Conclusion The improved analgesic birth node by epidural block has better efficacy and higher satisfaction scorn.

关 键 词：分娩镇痛 硬膜外麻醉 方式 改进 

分 类 号：R984[医药卫生—药品] R969.3[医药卫生—药学]