| 摘要: |
| ［摘要］ 目的 探讨小剂量瑞芬太尼对产妇分娩的镇痛效果及对分娩结局的影响。方法 对27例产妇分娩时实施小剂量瑞芬太尼静脉自控镇痛（观察组）并与30例未实施麻醉产妇 (对照组)进行比较。结果 观察组镇痛效果明显优于对比组，两组催产素使用、剖宫产率、产后出血量及新生儿1～10 minApgar评分无统计学差异。结论 小剂量瑞芬太尼静脉自控镇痛有起效快、镇痛效果好、对产妇生理影响小、对胎儿无不良影响、产妇易于接受等优点，受到医护人员的好评及孕产妇的欢迎，值得推广。 |
| 关键词: 瑞芬太尼 镇痛 分娩结局 安全性 |
| DOI： |
| 分类号:R 714.3 |
| 基金项目:南宁市科技局攻关资金资助项目(编号：ZC200708C) |
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| Effect of automatic control intravenous analgesia with a small-dose remifentanil on delivery outome |
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LIU Zi, ZHOU Rui-ren
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Department of Obstetrics, the First People′s Hospital, Nanning 530022, China
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| Abstract: |
| ［Abstract］ Objective To investigate the analgesic effect of automatic control intravenous analgesia with a small-dose remifentanil in parturient women and its effect on delivery outcome.Methods Twenty-seven parturient women were administered automatic control intravenous analgesia with a small-dose remifentanil （observation group）and thirty parturient women did not receive this analgesia(control group).Their delivery outcome were compared.Results The analgesia effect of the observation group was better than that of the control group (P<0.01).There were no difference in using of oxgtocic hormone, cesaren section rate, postpartum hemorrhage and Apgar score of neonates between the two groups(P>0.05).Conclusion The automatic control intravenous analgesia has advantages of fast effect, good analgosic effect, less physiologic effect on parturient women, no harmuful effect on fetal, and being accepted by parturient women, and is worth popularizing. |
| Key words: Remifentanil Analgesia Delivery outcome Safety |
