多模式镇痛在剖宫产手术中的疗效观察  

The effect observation on muhimodal analgesia in hysterotomy

作　　者：王晓鹏[1] 王瑜[1] 牟晓杰[1] 杨建新[1] 

机构地区：[1]山西医科大学第二医院,山西太原030001

出　　处：《临床医药实践》2012年第12期885-887,共3页Proceeding of Clinical Medicine

基　　金：山西医科大学第二医院院基金资助项目(项目编号20100502)

摘　　要：目的:比较剖宫产术中鞘内注射芬太尼及术后加用曲马多静脉镇痛泵对产妇镇痛效果的影响。方法:60例足月、单胎、初产妇随机分为3组。A组:单纯布比卡因行蛛网膜下隙神经阻滞;B组:布比卡因加芬太尼行蛛网膜下隙神经阻滞;C组:布比卡因加芬太尼行蛛网膜下隙神经阻滞术后带曲马多镇痛泵。结果:B,C两组镇痛效果优良率与A组相比差异有统计学意义。三组患者恶心呕吐、皮肤瘙痒、呼吸抑制发生情况比较差异均无统计学意义。结论:布比卡因加芬太尼组基本可以满足术后镇痛需要如果复合术后曲马多镇痛基本可以达到无痛要求。Objective ：To compare the differences effect of analgesia on maternity in cesarean delivery between fentanyl intrathecal injection and postoperative intravenous analgesia pump with tramadol. Methods：Sixty women who are primipara with full and single tyres are derided into 3 groups at random. Group A..we use only bupivacaine in sub- arachnoid block. Group B：we use bupivacaine and fentanyl in subaraehnoid block. Group C..we use bupivacaine,fen- tanyl and analgesia pump with tramadol in subarachnoid block. Results：Comparied with group A,we find the diffe- nences between group B and group C in statistics. The occurrence of nausea vomiting,skin itchy and respiratory de- pression on patients of the three groups have no meaning in statistics. Conclusion：The group using bupivacaine and fentanyl can satisfy the need of postoperatue analgesia. Adding tramadol for postoperatue analgesia,the demand of pamlessness can be achieved.

关 键 词：剖宫产术 芬太尼 曲马多 

分 类 号：R719.8[医药卫生—妇产科学]