引用本文: |
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许兰兰,唐淑蕙,张爱莲,等.氯普鲁卡因在分娩镇痛中转剖宫产中的临床效果[J].同济大学学报(医学版),2019,40(5):613-617. [点击复制]
- XU Lan-lan,TANG Shu-hui,ZHANG Ai-lian,et al.Analgesic effect of chloroprocaine in patients with painless labor converted to cesarean section[J].同济大学学报(医学版),2019,40(5):613-617. [点击复制]
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摘要: |
目的 比较硬膜外注射氯普鲁卡因在分娩镇痛中转剖宫产和单纯剖宫产的临床效果。方法 采用随机对照法,选择2018年1—7月行硬膜外分娩镇痛后中转剖宫产术的患者30例(无痛分娩组)和单纯剖宫产组30例(剖宫产组),记录入切皮时(T1),胎儿娩出(T2),术毕(T3),术后30min(T4)VAS评分,记录阻滞起效时间,痛觉消失时间,阻滞持续时间,不良反应及新生儿Apgar评分。结果 两组产妇在T1、T2、T3时的VAS分值差异无统计学意义(P>0.05);在T4时,剖宫产组VAS评分高于无痛分娩组,差异有统计学意义(P<0.05)。剖宫产组的起效时间、阻滞时间和Ramsay镇静评分与无痛分娩组比较,差异有统计学意义(P<0.05);两组痛觉消失时间差异无统计学意义(P>0.05)。结论 分娩镇痛后硬膜外注入氯普鲁卡因能够满足剖宫产的镇痛要求,比起单纯剖宫产,起效时间长持续时间长镇静效果好。 |
关键词: 氯普鲁卡因 镇痛 产科 硬膜外麻醉 剖宫产 |
DOI:10.16118/j.1008-0392.2019.05.015 |
投稿时间:2019-02-19 |
基金项目: |
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Analgesic effect of chloroprocaine in patients with painless labor converted to cesarean section |
XU Lan-lan,TANG Shu-hui,ZHANG Ai-lian,YANG Xiao-hu |
(Dept. of Anesthesiology, East Hospital, Tongji University School of Medicine,Shanghai 200120, China) |
Abstract: |
Objective To investigate the analgesic effects of epidural injection of chloroprocaine in patients with painless delivery converted to cesarean section. Methods Thirty patients with painless delivery converted to cesarean section (study group) and 30 patients undergoing cesarean section admitted in our hospital from January to June 2018 were enrolled. For patients in study group epidural injection of 3% chloroprocaine for labor analgesia and for control group 2% lidocaine was applied. The VAS scores were recorded in the time of the start of surgery (T1), fetal delivery (T2), end of surgery (T3), postoperative 30min (T4); the block onset time, duration of sensory block, adverse reactions and neonatal Apgar score were also recorded in two groups. Results There was no significant difference in VAS scores between the two groups at T1, T2, and T3 (P>0.05), while at T4 the VAS score in the control group was higher than that in the study group (P<0.05). There were significant differences in onset time, block time and Ramsay sedation score of the cesarean section between two groups (P<0.05). There was no significant difference in the pain disappearance time between the two groups (P>0.05). Conclusion Epidural injection of chloroprocaine after labor analgesia can meet the analgesic requirements of cesarean section in patients with painless delivery converted to cesarean section with a longer onset time and better sedative effect. |
Key words: chloroprocaine analgesia obstetrics epidural anesthesia cesarean section |