妫f牠銆�
閺堢喎鍨�: 瀵邦喕淇婇弬鍥╃彿 閸︺劎鍤庢稊锔剧潉 鐠у嫭鏋℃稉瀣祰 閸嬨儱鎮嶉弶鍌氱箶 閹躲儱鍨旈柅澶岀椽 閸╄櫣顢呴崠璇差劅 娑撴潙绨ラ崠璇差劅 閼筋垰顒� 鐎涳附濮� 娑擃厼娴楅崠璇差劅 閸楊偆鏁撻幀鏄忣啈
娣囨繂浠�: 閺備即妞� 鐠囧嫯顔� 鐟欏棛鍋� 鐢瓕鐦� 閻ゅ墽姊� 閻ュ洨濮� 閸忚崵鏁� 閻€劏宓� 閹躲倗鎮� 閹儲鏅� 閸嬨儴闊� 缂囧骸顔� 娑撱倖鈧拷 閼叉彃鍔� 閻拷 婵傦拷 閼帮拷 鐏忥拷 閸ユ稑顒� 鐠囪崵澧� 閺囨潙顦�
娑擃厼灏�: 鐢瓕鐦� 閺佹瑦娼� 閹繆鈧拷 娑擃叀宓� 閸栬崵鎮� 娑撴潙绨� 闁藉牓顎� 濮樻垶妫� 閺傚洤瀵� 閽佹ぞ缍� 妤犲本鏌� 閸ユ崘姘� 妞嬬喓鏋� 閼筋垳澧� 閼筋垯绗� 閼筋垰绔� 閺傛媽宓� 閹兼粎鍌� 閼昏鲸鏋�
当前位置: 首页 > 期刊 > 《中国实用医药》 > 2010年第29期 > 正文
编号:11964491
腰-硬联合自控镇痛分娩对宫缩的影响(1)
http://www.100md.com 2010年10月15日 彭其才 许成芳 吴玲玲 侯红瑛


第1页

    参见附件(1342KB,2页)。

     【摘要】 目的 探讨腰-硬联合自控镇痛分娩对宫缩的影响,有助于更好指导镇痛分娩处理。方法 回顾性分析我院2007年4月至2008年4月采用腰-硬联合自控镇痛法分娩患者312例临床资料,并随机选择同期非镇痛分娩患者69例作对照分析。结果 312例分娩镇痛总有效率100%,发生宫缩乏力252例,发生率80.8%,使用缩宫素252例,宫缩素使用率80.8%,对照组发生宫缩乏力15例,发生率21.7%,使用缩宫素15例,宫缩素使用率21.7%,两组比较(P<0.01),差异有统计学意义;镇痛组例,宫缩乏力发生在第一产程活跃期223例,占88.5%,发生在第二产程29例,占11.5%,对照组宫缩乏力发生在第一产程活跃期6例,占40%,发生在第二产程9例,占60%,两组比较P<0.01,差异有统计学意义。结论 腰-硬联合自控镇痛分娩有效镇痛率达100%,但宫缩乏力发生率高,近九成宫缩乏力发生在第一产程活跃期,镇痛分娩过程中应密切监测宫缩情况,发现宫缩乏力时尽早应用缩宫素。

    【关键词】麻醉;镇痛;宫缩乏力

    The effects on uterine contractions of labor combined Spinal-epidural analgesia

    PENG Qi-cai,XU Cheng-fang,WU Ling-ling,et al.Department of Obstetrics,the third Affilated Hospital,SUN Yat-sen University,Guangzhou 510630,China

    【Abstract】 Objective To study the effects on uterine contractions of labor combined Spinal-epidural analgesia,help to better guide the analgesic treatment delivery.Methods A retrospective analysis of our hospital from April 2007 to April 2008 with spinal-epidural patient-controlled analgesia delivery clinical data of 312 patients and randomly selected patients over the same period 69 cases of non-analgesic delivery was calculated.Results 312 cases of analgesia was 100%,252 cases of uterine atony occurs,the incidence of 80.8%,252 cases using oxytocin,uterine prime rate 80.8%,control group,15 cases of uterine atony occurred,occurrence rate of 21.7%,use of oxytocin in 15 cases,utilization rate 21.7%,P<0.01,significant difference; Analgesia group cases,uterine inertia occurred in the first stage of 223 cases of active,accounting for 88.5%,occurred in the second stage of labor in 29 cases,11.5%; in the control group produced uterine inertia occurred in the first active stage 6 cases,40%,occurred in the second stage in 9 cases,60%,respectively P<0.01,significant difference.Conclusion The combined spinal-epidural analgesia and effective analgesia delivery rate of 100%,but the high incidence of uterine atony,uterine atony nearly 90 percent in the first active phase of labor,during labor,contractions should be closely monitored,oxytocin was used as soon as possible when uterine inertia was found ......

您现在查看是摘要介绍页,详见PDF附件(1342KB,2页)
濠碘€冲€归悘澶愬箖閵娿儲韬ù锝堟硶閺併倝骞嶇€n偅绨氱紒娑橆槹缁侊妇鎲撮崼鐔割槯闁哄啰濮电涵鍫曞蓟閵壯勭畽闁瑰瓨鐗旂粭鍛姜閽樺寮块柡鍌氭祫缁辨繈宕i婵嗗幋闁哄嫷鍨甸~锕傚箹濠婂懎鍋嶇€殿喗娲橀幖鍛婂緞鏉堚晜鍩傞柍銉︾矎濞村棝鎯嶆担娴嬪亾濠垫挾绀夐悹鍥棑閸嬶綁宕欑拠鑼綄妤犵偞娲樺〒鑸电▔鐎n偅鐓欓柣銊ュ閳ь剚绮庨弫鎼佹嚇閹寸姴顣奸柍銉︾箖閸ㄣ劑鍨惧⿰鍐ㄦ枾缂傚啯鍨块妴澶愬灳濠靛⿴鍟忛梻鍌ゅ枔閳ь剨鎷�


闂傚嫭鍔掔花顒勫嫉瀹ュ懎顫ら柛锝冨妼鐢洭宕濆☉宕囩缂傚啯鍨归悵顖炴焾閵娿儱鐎诲ǎ鍥e墲娴煎懘宕i鍐繑闁绘牕宕缓鐐濮橆剚鍠呴柟瀛樼墬濠€浣圭▔閳ь剛鈧姘ㄨⅶ闁告帒妫涘▓鎴濃枖閵娿儱鏂€濞村吋鑹鹃幉鍐裁规担绛嬫綌闁靛棴鎷�
婵繐鎷� pdf闁稿繈鍔嶉弸锟� 闂傚洠鍋撻悷鏇嫹 5 缂佸鍨伴崹搴ㄦ晬閸繂甯抽悹鎰潐閺佺偤宕樺畝鈧▍銉ㄣ亹閺囩偞鍊�婵絽绻愰妵澶愬矗椤栨瑤绨板Λ鏉挎瑜帮拷10濞戞搩浜炶ⅶ闁告帪鎷�闁挎稑顦埀顒婃嫹
    閺傚洨鐝烽悧鍫熸綀鐏炵偘绨崢鐔绘啿娴f粍娼堟禍鐚寸礉閼汇儲鍋嶇拋銈勮礋濮濄倖鏋冩稉宥呯杹鐞氼偅鏁硅ぐ鏇氱返婢堆冾啀閸忓秷鍨傞梼鍛邦嚢閿涘矁顕柇顔绘閹存牜鏁哥拠婵嬧偓姘辩叀閹存垳婊戦敍灞惧灉娴狀剚鏁归崚浼粹偓姘辩叀閸氬函绱濇导姘辩彌閸楀啿鐨㈤幃銊ф畱娴f粌鎼ф禒搴㈡拱缂冩垹鐝崚鐘绘珟閵嗭拷

   瀵邦喕淇婇弬鍥╃彿  閸忚櫕鏁為惂鐐  鐠囧嫯顔戦崙鐘插綖  閹兼粎鍌ㄩ弴鏉戭樋   閹恒劌鐡ㄧ紒娆愭箙閸欙拷   閸旂姴鍙嗛弨鎯版