伊捷卡硬膜外麻醉复合布托啡诺静脉注射在无痛分娩中的应用  

Study of Epidural Anesthesia with Levobupivacaine Hydrochloride Combined with Intravenous Butorphanol in Women with Painless Delivery

作　　者：肖文鑫[1] 潘淑嫒[1] 张勤兑[1] 

机构地区：[1]广东省江门市新会区人民医院,广东江门529100

出　　处：《中国医学创新》2012年第33期24-25,共2页Medical Innovation of China

摘　　要：目的:评价伊捷卡硬膜外麻醉复合布托啡诺静脉注射在无痛分娩中的应用效果。方法:选择60例进入产程活跃期的非高危足月产妇纳入研究,采用伊捷卡硬膜外麻醉复合布托啡诺静脉注射分娩镇痛,并与同期未进行分娩镇痛的正常分娩产妇60例比较。结果:(1)镇痛组镇痛效果优良,与对照组比较差异有统计学意义(P<0.05);(2)两组第一产程活跃期时间及顺产率和剖宫产率比较差异有统计学意义(P<0.05);(3)两组第二产程阴道助产率及新生儿Apgar评分比较差异无统计学意义(P>0.05)。结论:伊捷卡硬膜外麻醉复合布托啡诺静脉注射分娩镇痛效果良好,安全可靠,对母婴均无不良影响,且能明显促进产程进展。Objective： To study the effect of epidural anesthesia with levobupivacaine hydrochloride combined with intravenous butorphanol in women with painless delivery. Method： 60 non-high-risk full-term mothers in active phase of labor were relieved pain with epidural anesthesia combined with intravenous butorphanol, and 60 cases of normal delivery without analgesia in the same period were divided into control group. The effects of the two groups were compared and analyzed. Result： （1）Analgesia effects in analgesia group were significantly better than those in control group（P0.05）. （2）There were significantly differences between the two groups in duration of first active phase of labor, rates of natural delivery, and cesarean section （P0.05）. （3）There were no significant differences between the two groups in rates of vaginal midwifery in second phase and Apgar scores of newborns（P0.05）. Conclusion： Epidural anesthesia with levobupivacaine hydrochloride combined with intravenous butorphanol are effective and safe in women with painless delivery, and have no side-effect in both mother and child, and significantly promote the progress of labor.

关 键 词：无痛分娩 硬膜外麻醉 伊捷卡 布托啡诺 

分 类 号：R614[医药卫生—麻醉学]