| 罗哌卡因配伍芬太尼自控硬膜外镇痛用于昼夜无痛分娩效果对比研究 |
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| 引用本文： | 陈宏霞,阳丽君,黄瑾,沈卓娜,陈永珊.罗哌卡因配伍芬太尼自控硬膜外镇痛用于昼夜无痛分娩效果对比研究[J].中国医院用药评价与分析,2010(1):57-60. |
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| 作者姓名： | 陈宏霞 阳丽君 黄瑾 沈卓娜 陈永珊 |
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| 作者单位： | 中山大学附属中山医院妇产科; |
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| 摘 要： | 目的：探讨罗哌卡因用于硬膜外分娩镇痛对妊娠期妇女和胎儿的影响及镇痛效果昼夜对比有无差别。方法：按产程进入活跃期的时间分为2组,A组为日间组,B组为夜间组,用低浓度罗哌卡因用于硬膜外分娩镇痛,分别观察以上2组围产期妇女的镇痛效果、产程时间、分娩方式、产后出血量以及新生儿情况。结果：2组围产期妇女年龄、身高、体重和孕周等比较,差异无显著意义（P〉0.05）;镇痛起效时间和麻醉完善时间B组长于A组,差异有显著意义（P〈0.05）;2组镇痛效果比较,差异有显著意义（P〈0.05）;产程时间比较（即潜伏期、活跃期、第二产程、总产程比较）,差异无显著意义（P〉0.05）,第三产程差异有显著意义（P〈0.05）;2组产后出血量比较,差异无显著意义（P〉0.05）;2组分娩方式及催产素使用的比较,差异有显著意义（P〈0.05）。结论：低浓度罗哌卡因用于硬膜外分娩镇痛是一种安全的方法,夜间使用注意监测不良事件的发生,可适当加大浓度。
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| 关 键 词： | 罗哌卡因 芬太尼 分娩镇痛 |
Diurnal Variation of Painless Delivery Efficacy of Ropivacaine plus Fentanyl for Patient-controlled Epidural Analgesia |
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| CHENG Hong-xia,YANG Li-jun,HUANG Jin,SHEN Zhuo-na,CHEN Yong-shan.Diurnal Variation of Painless Delivery Efficacy of Ropivacaine plus Fentanyl for Patient-controlled Epidural Analgesia[J].Evaluation and Analysis of Drug-Use in Hospital of China,2010(1):57-60. |
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| Authors: | CHENG Hong-xia YANG Li-jun HUANG Jin SHEN Zhuo-na CHEN Yong-shan |
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| Affiliation: | CHENG Hong-xia,YANG Li-jun,HUANG Jin,SHEN Zhuo-na,CHEN Yong-shan(Dept.of Obstetrics , Gynecology,Zhongshan Hospital of Sun Yat-sen University,Zhongshan 528403,China) |
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| Abstract: | OBJECTIVE: To investigate the impacts of ropivacaine used for epidural anesthesia on both gravida and fetus and the diurnal variation of its analgesic efficacy. METHODS: The parturients enrolled were assigned to either daytime group(Group A) or night time group(Group B) based on the time to the active phase(labor process).The patients were assigned to receive low concentration of ropivacaine for epidural analgesia.The analgetic effects,duration of labor,labor mode,postpartum blood loss and the condition of ... |
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| Keywords: | Ropivacaine Fentanyl Labor analgesia |
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