伊捷卡硬膜外麻醉复合布托啡诺静脉注射在无痛分娩中应用.docVIP

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 　　【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(P0.05)。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。 　　【关键词】 无痛分娩; 硬膜外麻醉; 伊捷卡; 布托啡诺 　　Study of Epidural Anesthesia with Levobupivacaine Hydrochloride Combined with Intravenous Butorphanol in Women with Painless Delivery/XIAO Wen-xin, PAN Shu-yuan, ZHANG Qin-dui.//Medical Innovation of China,2012,9(33):024-025 　　【Abstract】 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). 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. 　　【Key words】 Painless delivery; Epidural anesthesia; Levobupivacaine hydrochloride; Butorphanol 　　First-author’s address: Xinhui People’s Hospital, Jiangmen 529100, China 　　doi:10.3969/j.issn.1674-4985.2012.33.013 　　初产妇精神紧张、焦虑,产程中的消耗体力,使产程延长,形成恶性循环,剖宫产率明显升高。随着人们生活水平的提高,产妇无痛分娩的要求也逐渐增多[1]。理想的分娩镇痛必须具备母子安全无影响,易于给药,起效快,作用可靠,不影响宫缩及产程,孕妇清醒、可参与分娩过程,必要时可满足手术需要。笔者所在医院自2009年3月开始采用伊捷卡硬膜外麻醉复合布托啡诺静脉注射进行分娩镇痛,取得了满意效果,现报告如下。 　　1 资料与方法 　　1.1 一般资料 选择2009年3月-2011年5月在本院分娩的孕37~42周,单胎头位,无头盆不称,无妊娠合并症和并发症,胎儿监护为反应型,要求分娩镇痛者60例,实施无痛分娩(镇痛组);随机抽取同期条件相当,未实施分娩镇痛的产妇60例为对照组,进行对比分析。两组一般情况比较,差异无统计学意义(P0.05)。见表1。 　　1.2 方法 镇痛分娩组产妇于第一产程进入活跃期,即宫口开大3 cm时,由麻醉科医生于L3~4间隙行硬膜外腔穿刺,