[1]林俊１*,马莉萍２,陈美华２,等.氯胺酮和瑞芬太尼对剖宫产术后镇痛药物 需求量的影响[J].中国计划生育和妇产科,2018,(2):42-44.
　LIN Jun*,MA Li-ping,CHEN Mei-hua,et al.Effect of ketamine and remifentanil on analgesic requirement after cesarean section[J].Chinese Journal of Family Planning & Gynecotokology,2018,(2):42-44.
点击复制

氯胺酮和瑞芬太尼对剖宫产术后镇痛药物 需求量的影响
分享到：

《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2018年2期
页码:
42-44
栏目:
论著与临床
出版日期:
2018-02-25

文章信息/Info

Title:
Effect of ketamine and remifentanil on analgesic requirement after cesarean section　
作者:
林俊１*; 马莉萍２; 陈美华２; 边成富２
1.凉山州第一人民医院麻醉科；２．凉山州第二人民医院麻醉科
Author(s):
LIN Jun1*;  MA Li-ping2;  CHEN Mei-hua2;  BIAN Cheng-fu2
1. Department of Anesthesiology,Liangshan First People's Hospital;2.Department of Anesthesiology,Liangshan Second People's Hospital,Xichang Sichuan 615000,P.R.China
关键词:
剖宫产; 术后镇痛; 瑞芬太尼; 氯胺酮
Keywords:
cesarean section;  postoperative analgesia; remifentanil; ketamine
分类号:
R 614.2
摘要:
目的比较剖宫产全麻诱导使用氯胺酮或瑞芬太尼对产妇术后疼痛及镇痛药物需求量的影响。方法选择２０１3年1月至2014年3月凉山州第一人民医院全麻下择期剖宫产患者70例，纳入ASA Ⅰ~Ⅱ级，采用随机数字表法分为氯胺酮组（K组）和瑞芬太尼组（R组），每组各35例。全麻诱导使用丙泊酚2mg/kg，琥珀胆碱15～2 mg/kg。K组加用氯胺酮1 mg/kg， R组加用瑞芬太尼1μg/kg。观察两组产妇术后2、6、24 h静息及运动视觉模拟评分（Visual Analogue Scale/Score，VAS），术后
Abstract:
ObjectiveTo compare postoperative pain and analgesic requirement in patients who underwent cesarean section under general anesthesia induced with ketamine or remifentanil. Methods70 elective cesarean section patients with general anesthesia, ASA I~II, wer

参考文献/References:

［1］Kevin Laskowski, Alena Stirling, William P，et al. A systematic review of intravenous ketamine for postoperative analgesia ［J］. Can J Anesth,2011, 58:911–923. ［2］AKBAR B, Mehrdad Hosseinpour, Parastoo Khorasani. Preemptive use of ketamine on postoperative pain of appendectomy ［J］. The Korean Journal of Pain, 2011, 24(3): 137-140. ［3］Roytblat L, Korotkoruchko A, Katz J, et al. Postoperative pain:the effect of low-dose ketamine in addition to general anesthesia ［J］.Anesth Analg, 1993, 77(6):1161-1165. ［4］Warwick D NganKee,FANZCA,Kim S Khaw,et al.Postoperative analgesic requirement after cesarean section: A comparison of anesthetic induction with ketamine or thiopental ［J］. Anesth Analg,1997, 85(6):1294-1298. ［5］UCHAIPICHAT V, RAUNGRUT P, CHAU N, et al. Effects of ketamine on human UDP-Glucuronosyl transferases in vitro predict potential drug-drug interactions arising from ketamine inhibition of codeine and morphine glucuronidation ［J］. Drug Metabolism and Disposition, 2011, 39 (8): 1324-1328. ［6］KOHNO T. Kimura M,sasaki M,obata H,amaya F,saito S.milnacipran inhibits glutamatergic N-methyl-D-aspartate receptor activity in spinal dorsal Horn neurons ［J］. Molecular Pain, 2012, 19(8): 45. ［7］Woolf CJ, Thompson SWN. The induction and maintenance ofcentral sensitization is dependent on N-methyl-D-aspartic acid receptor activation; implications for the treatment of post-injury pain hypersensitivity states ［J］. Pain, 1991, 44(3):293-299. ［8］曾葵，杨莹莹，黄瀚，等．剖宫产全麻诱导使用瑞芬太尼对新生儿的影响 ［J］．四川大学学报(医学版)，2009，40 （4）：755-757．

相似文献/References:

[1]刘素琼,乔莉,余劲,等.产后出血相关因素分析[J].中国计划生育和妇产科,2009,(05):0.
　LIU Su-qiong,QIAO Li,YU Jin The department of gynaecology and obstetrics,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2009,(2):0.
[2]卢庆.前壁前置胎盘剖宫产术31例临床分析[J].中国计划生育和妇产科,2009,(06):0.
　LU Qing.[J].Chinese Journal of Family Planning & Gynecotokology,2009,(2):0.
[3]曾梦艳,廖滔.HIV感染孕产妇剖宫产48例情况分析[J].中国计划生育和妇产科,2009,(06):0.
[4]刘颖.82例中央性前置胎盘的临床分析[J].中国计划生育和妇产科,2010,(02):0.
[5]李波.161例产后出血的原因分析及预防[J].中国计划生育和妇产科,2010,(04):0.
　LI Bo Intensive care unit,Chengdu gynaecology and obstetrics hospital,Chengdu Sichuan 00,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2010,(2):0.
[6]陈倩,段成城,全望华,等.欣母沛、葡萄糖酸钙和缩宫素联合预防剖宫产产后出血疗效观察[J].中国计划生育和妇产科,2010,(04):0.
　CHEN Qian,DUAN Cheng-cheng,QUAN Wang-hua,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2010,(2):0.
[7]莫丽芳.剖宫产手术中行子宫肌瘤剔除术体会[J].中国计划生育和妇产科,2010,(04):0.
　MO Li-fang Shilong Peoples hospital of Dongguan city,Dongguan Guangdong,China.[J].Chinese Journal of Family Planning & Gynecotokology,2010,(2):0.
[8]解秀珍.妊娠相关性血小板减少症39例临床分析[J].中国计划生育和妇产科,2010,(05):0.
　XIE Xiu-zhen.[J].Chinese Journal of Family Planning & Gynecotokology,2010,(2):0.
[9]周学敏.剖宫产子宫肌层单层缝合效果观察[J].中国计划生育和妇产科,2011,(04):0.
　ZHOU Xue-min.[J].Chinese Journal of Family Planning & Gynecotokology,2011,(2):0.
[10]王晓枚,舒小兰,王瑛,等.剖宫产使用镇痛泵术后的舒适护理[J].中国计划生育和妇产科,2011,(04):0.
　WANG Xiao-mei,SHU Xiao-lan,WANG Ying,et al.[J].Chinese Journal of Family Planning & Gynecotokology,2011,(2):0.
[11]徐莉.B超引导下腹横肌平面阻滞用于全麻剖宫产术后 镇痛效果观察[J].中国计划生育和妇产科,2017,(3):42.
　XU Li.Ultrasound-guided transversus abdominis plane block for postoperative analgesia in cesarean delivery under general anesthesia[J].Chinese Journal of Family Planning & Gynecotokology,2017,(2):42.

更新日期/Last Update: 2018-02-25