[1]唐勇,潘雪琳*,刘庆.右美托咪定复合罗哌卡因程控硬膜外间歇脉冲注入应用于分娩镇痛的临床研究[J].中国计划生育和妇产科,2019,(8):53-56,61.
 TANG Yong,PAN Xue-lin*,LIU Qing.Clinical study of dexmedetomidine combined with ropivacaine programmed intermittent epidural bolus for labor analgesia[J].Chinese Journal of Family Planning & Gynecotokology,2019,(8):53-56,61.
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右美托咪定复合罗哌卡因程控硬膜外间歇脉冲注入应用于分娩镇痛的临床研究
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《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2019年8期
页码:
53-56,61
栏目:
论著与临床
出版日期:
2019-08-25

文章信息/Info

Title:
Clinical study of dexmedetomidine combined with ropivacaine programmed intermittent epidural bolus for labor analgesia
作者:
唐勇1潘雪琳1*刘庆2
1. 610011四川成都,四川锦欣妇女儿童医院麻醉科;2. 646000四川泸州,西南医科大学附属中医医院麻醉科
Author(s):
TANG Yong1 PAN Xue-lin1*LIU Qing2
1.Department of Anesthesiology, Sichuan Jinxin Women and Children's Hospital,Chengdu Sichuan 610011; 2. Department of Anesthesiology, Affiliated Hospital of Traditional Chinese Medicine, Southwestern Medical University,Luzhou Sichuan 646000,P.R.China
关键词:
右美托咪定罗哌卡因脉冲注入分娩镇痛
Keywords:
dexmetomidineropivacainepulse injectionlabor analgesia
分类号:
R 614.4+2
摘要:
目的探讨右美托咪定复合罗哌卡因采用程控硬膜外间歇脉冲注入应用于分娩镇痛的镇痛效果及对产妇和新生儿的影响。方法选择2017年7~12月于四川锦欣妇女儿童医院要求实施分娩镇痛的足月初产妇80例,采用随机数字表法分为两组,右美托咪定组(D组):05 ug/mL右美托咪定+009 %罗哌卡因;舒芬太尼组(S组):05 ug/mL舒芬太尼+009 %罗哌卡因,每组40例。宫口开至2 cm时,实施持续性硬膜外镇痛,连接脉冲式自控镇痛泵。记录两组产妇镇痛实施前(T0)、镇痛后10 min(T1)、30 min(
Abstract:
ObjectiveTo investigate the analgesic effect of dexmedetomidine combined with ropivacaine in the treatment of labor analgesia with programmed epidural intermittent pulse injection and its effect on maternal and neonatal. MethodsEighty patients with full-

参考文献/References:

[1]Kumar M, Chandra S, Ijaz Z, et al. Epidural analgesia in Labour and neonatal respiratory distress: a case-control study [J]. Arch Dis Child Fetal Neonatal Ed, 2014, 99(2): F116-F119. [2]解轶,黄绍强.右旋美托咪定应用于产科麻醉的现状与前景[J].上海医学,2011,34(4):316-319. [3]Feld J, Hoffman WE, Paisansathan CA, et al. Autonomic activity during dexmedetomidine or fentanyl infusion with desflurane anesthesia [J]. J Clin Anesth, 2007, 19(1): 30-36. [4]王朝辉,徐世琴,冯善武,等.程控硬膜外间歇脉冲注入技术用于产妇分娩镇痛的效果及其对新生儿的影响 [J].中华麻醉学杂志,2016,36(9):1134-1137. [5]Brummett CM, Norat MA, Palmisano JM, et al. Perineural administration of dexmedetomidine in combination with bupivacaine enhances sensory and motor blockade in sciatic nerve block without inducing neurotoxicity in rat [J]. Anesthesiology, 2008, 109(3): 502-511. [6]SU Xian, MENG Zhao-ting, WU Xin-hai, et al. Dexmedetomidine for prevention of delirium in elderly patients after non-cardiac surgery: a randomised, double-blind, placebo-controlled trial [J]. Lancet, 2016, 388(154): 1893-1902. [7]Goyal V, Kubre J, Radhakrishnan K. Dexmedetomidine as an adjuvant to bupivacaine in caudal analgesia in children[J]. Anesthesia, essays and researches, 2016, 10(2): 227-232. [8]WANGPING Zhang, MING Ren. Optimal dose of epidural dexmedetomidine added to ropivacaine for epidural labor analgesia: a pilot study[J]. Evid Based Complement Alternat Med, 2017(1): 7924148. [9]中华医学会麻醉学分会产科学组.分娩镇痛专家共识 (2016版) [J].临床麻醉学杂志,2016,32(8):816-818. [10]方东向.谢雷,陈先霞.程控硬膜外间歇脉冲注入与持续背景输注用于分娩镇痛的比较 [J].临床麻醉学杂志,2016,32(8):757-759. [11]Dreyling M, ESMO Guidelines Working Group. Newly diagnosed and relapsed follicular lymphoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up[J]. Ann Oncol, 2010, 21(Suppl 5): v181-v183.

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更新日期/Last Update: 2019-08-25