曲马多伍用安定用于分娩镇痛  

COMBINATION OF TRAMADOL AND DIAZEPAM FOR LABOR PAIN RELIEF

作　　者：张文真[1] 何向群[1] 王丽丽[1] 邢盈[1] 吴景苏 杜瑞英[1] 李俊岑[1] 

机构地区：[1]河北医科大学第二医院妇产科,石家庄050000

出　　处：《中国疼痛医学杂志》1997年第4期215-218,共4页Chinese Journal of Pain Medicine

摘　　要：本文探讨了曲马多伍用安定对分娩镇痛的效果、对母儿的影响及用药注意事项。选择足月、单胎、头位初产妇240例，随机分为三组，1组，即曲马多＋安定组（曲＋安组）；2组，曲马多组（曲组）；3组为对照组。三组均在宫口开大2～3cm用药，观察其镇痛效果，产程、胎儿、新生儿及产后出血情况。结果显示：1组（曲＋安组）镇痛显效率明显高于2组（曲组），P＜0．01，而且1组产程最短，产后出血最少，与对照组相比均有显著差异。三组胎儿情况和新生儿生后1分钟Apgar评分无差异。To evaluate the effect of combination of tramadol and diazepan on labor pains labor process, fetus and newborn baby condition and puerperal bleeding, 240term pregnancy and normal primlpara with single fetal, vertex presentation was observed from July 1995 to July 1996. These women were randomly divided into three groups, group 1 (tramadol 100mg in and diazepan 10mg, iv), group 2(tramadol 100 mg im)and group 3(control group, NS, 2ml im). all the medicines and NS were administered when the cervix were dilated to 2～3 cm. The results showed: the analgesic effect of group 1 was significantly better than that of group 2. The labor processes of group 1was shorter and the puerperal bleeding of group 1 was less than that in group 3. Among the three groups the conditions of newborn had no significant difference. These results indicated that using tramadol combincd with diazepam is satisfactory for the control oflabor pain

关 键 词：曲马多 安定 分娩 镇痛 伍用 

分 类 号：R714.305[医药卫生—妇产科学] R971.1[医药卫生—临床医学]