| 硬膜外阻滞分娩镇痛对子宫收缩力的影响 |
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| 引用本文： | 邹武 毕敏. 硬膜外阻滞分娩镇痛对子宫收缩力的影响[J]. 临床麻醉学杂志, 1996, 12(2): 92-93 |
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| 作者姓名： | 邹武 毕敏 |
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| 作者单位： | 第三军医大学附一院麻醉科，第三军医大学附一院麻醉科 重庆市，邮政编码:630038，重庆市，邮政编码:630038 |
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| 摘 要： | 本文通过对８例连续硬膜外注药分娩镇痛的产妇应用连续宫腔内测压的方法了解硬膜外阻滞分娩镇痛对子宫收缩力的影响。结论：胝浓度局麻药及合并少量氯胺酮进行连续硬膜外输洲分娩镇痛虽然对子宫收缩有短时间的轻度抑制，但不会影响产力。第二产程不用药有可能避免第二产程延长。
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| 关 键 词： | 镇痛 硬膜外阻滞 分娩 镇痛 子宫收缩力 |
The Influence of Epidural Analgesia on Uterine Contractivity during Labor |
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| Zou Wu,et al. The Influence of Epidural Analgesia on Uterine Contractivity during Labor[J]. The Journal of Clinical Anesthesiology, 1996, 12(2): 92-93 |
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| Authors: | Zou Wu et al |
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| Affiliation: | Zou Wu,et al Department of Anesthesiology,First Affiliated Hospital of Third Military Medical University |
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| Abstract: | Uterine contractivity was measured in 8 nulliparous women with continuous epidural analgesia during labor. After vaginal catheter was inserted, each patient received in sequence: (1) 3ml 0. 125%bupivacaine; (2) 10ml 0. 125% bupivacaine; and (3) a continuous epidural infusion of 0. 0625% bupivacaine /O. 2% ketamine at a rate of 10ml/h.The epidural infusion was discontinued in the second stage of labor. Results:As the top-up dose was given, a mild depression of uterine activity, lasting 30 minutes, was noted. There was no depression of uterine activity during the infusion period and the second stage of labor. Conclusion;The mixture of low concentration bupivacaine and ketamine epidurally infused does not result in depression of uterine activity for nulliparous women. |
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| Keywords: | Analgesia Epidural blockade |
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