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0.0625%与0.1%布比卡因在硬膜外分娩镇痛中的效果比较
引用本文:卫宇,余大松. 0.0625%与0.1%布比卡因在硬膜外分娩镇痛中的效果比较[J]. 上海医学, 2011, 34(6)
作者姓名:卫宇  余大松
作者单位:上海交通大学医学院附属国际和平妇幼保健院麻醉科,200030
摘    要:
目的:将0.062 5%布比卡因应用于分娩镇痛,且与0.1%布比卡因的镇痛效果进行比较,进而评估在产程早期0.062 5%布比卡因是否适用.方法将60例产妇随机分为A组((0.1%布比卡因+0.0002%芬太尼)和B组((0.062 5%布比卡因+0.000 2%芬太尼),观察局部麻醉药用量、患者生命体征、疼痛缓解情况、分娩结局和不良反应等.结果:两组15 min时麻醉平面超过T10的产妇比例以及布比卡因总量的差异均无统计学意义(P值均>0.05),但B组需补充布比卡因的比例显著高于A组(P<0.05),B组有双下肢麻木感的产妇比例显著低于A组(P<0.05).结论:0.062 5%布比卡因复合芬太尼适用于产程早期的分娩镇痛.

关 键 词:低浓度  布比卡因  分娩镇痛

Epidural analgesia with 0.1% versus 0.062 5% bupivacaine for early labor;a comparison of analgesia effects
WEI Yu,YU Dasong. Epidural analgesia with 0.1% versus 0.062 5% bupivacaine for early labor;a comparison of analgesia effects[J]. Shanghai Medical Journal, 2011, 34(6)
Authors:WEI Yu  YU Dasong
Affiliation:WEI Yu,YU Dasong. Department of Anesthesiology,International Peace Maternity and Child Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200030,China
Abstract:
Objective To compare the analgesic effects of 0.062 5% and 0.1% bupivacaine on labor pain,so as to evaluate whether 0.062 5% bupivacaine is suitable for early labor.Methods Totally 60 parturients in early active labor were recruited and randomized into two groups.All subjects received analgesic drugs via a lumbar epidural catheter.Group A: 0.1% bupivacaine plus 0.000 2% fentanyl;Group B: 0.062 5% bupivacaine plus 0.000 2% fentanyl.The analgesic requirement,visual analogue scale(VAS),motor block and obstetri...
Keywords:Lower concentration  Bupivacaine  Labor analegisa  
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