|
|
Application effect of different doses of Butorphanol on epidural labor analgesia |
BI Lin HU Ding-hao HUANG Qing-fang ZHU Rui |
Department of Anesthesiology,Shenzhen Hospital of University of Chinese Academy of Sciences,Guangdong Province,Shenzhen 518107,China |
|
|
Abstract Objective To explore the application effect of different doses of Butofenol in epidural labor analgesia.Methods A total of 520 single and full-term parturients admitted from March to October in 2017 in our hospital were selected as subjects,and they were divided into group A (130 cases),group B (130 cases),group C (130 cases)and group D (130 cases)according to the random sampling method.All the three groups received different doses of Butopenol for epidural labor analgesia,except group D,which did not receive labor analgesia treatment.The analgesic effect and the incidence of adverse reactions were compared between the four groups.Results The analgesic effect of the intervention of group A,B and C was higher than that of group D,and the difference was statistically significant(P<0.05).The level of PCO2in group A,B and D was lower than that in group C,and the level of PO2in group A,B and C was higher than that in group D,the difference was statistically significant(P<0.05).There was no significant difference in pH value and BE value between the four groups(P>0.05).Compared with group D,the Apgar score of neonates in group A,B and C showed no statistical significance(P>0.05).Compared with group D,Apgar score in group A,B and C showed no statistical significance(P>0.05).The total incidence rate of maternal adverse reactions in group A,B,C and D was 1.54%,6.92%,11.54%and 30.00%,respectively,the total incidence rate of maternal adverse reactions in group D was higher than that in group A,B and C,with statistically significant differences(P<0.05).Conclusion Different doses of Butofenol can play a higher analgesic effect in the use of maternal labor analgesia,and the safety is higher,the incidence of adverse reactions after parturition is less,and the impact on the newborn is low,which is worthy of widely recommended clinical application.
|
|
|
|
|
[1] |
陈君.布托啡诺与芬太尼复合罗哌卡因用于120例硬膜外分娩镇痛的效果比较[J].当代医学,2015,21(4):121-122.
|
[2] |
孙巧霞.布托啡诺联合罗哌卡因在硬膜外分娩镇痛中的效果观察[J].河南外科学杂志,2016,22(6):41-42.
|
[3] |
许树旗,杨远琪.左布比卡因联合布托啡诺硬膜外麻醉用于分娩镇痛的效果观察[J].中国医药科学,2017,7(23):122-124.
|
[4] |
车银锋.不同剂量布托啡诺联合罗哌卡因用于硬膜外分娩镇痛效果对比[J].医药论坛杂志,2015,36(2):162-163.
|
[5] |
艾喜婷.布托啡诺复合罗哌卡因在硬膜外分娩镇痛中的优点[J].医药论坛杂志,2014,35(5):147-148.
|
[6] |
马新刚,徐翠兰,薛明喜.罗哌卡因复合布托啡诺硬膜外自控分娩镇痛效果及对母婴的影响[J].山东医药,2013,53(8):83-85.
|
[7] |
张灵召.罗哌卡因分别复合布托啡诺和芬太尼行硬膜外分娩镇痛的效果对比[J].现代诊断与治疗,2017,28(5):874-875.
|
[8] |
陈兰凤,金豪杰,高宝斌,等.不同浓度罗哌卡因复合布托啡诺行硬膜外分娩镇痛的量效观察[J].中国临床药理学与治疗学,2013,18(10):1126-1131.
|
[9] |
金豪杰,陈兰凤,高宝斌,等.罗哌卡因联合布托啡诺或芬太尼行硬膜外分娩镇痛的效果观察[J].中国医院药学杂志,2015,35(3):240-244.
|
[10] |
姚建芬,吴益莉,朱晶.布托啡诺在单纯性妊娠期高血压疾病产妇分娩镇痛中的应用[J].浙江创伤外科,2014,19(2):319-321.
|
[11] |
夏丰.布托啡诺复合左旋布比卡因在分娩镇痛中的应用[J].中国乡村医药,2014,21(4):10-12.
|
[12] |
张博,左美娟,吕露.不同剂量布托啡诺用于腰-硬联合分娩镇痛效果的比较[J].中外医学研究,2017,15(5):47-48.
|
[13] |
黄海涛.罗哌卡因复合布托啡诺用于甲状腺囊肿切除术的麻醉效果观察[J].中国医药指南,2016,14(2):125.
|
[14] |
马松梅.布托啡诺复合右美托咪定用于剖宫产术后镇痛的临床研究[J].智慧健康,2017,3(4):124-125.
|
[15] |
袁燕.在无痛分娩中对产妇进行复合麻醉的效果及对新生儿的影响[J].当代医药论丛,2016,14(10):10-11.
|
|
|
|