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1、2100例椎管内阻滞分娩镇痛临床研究【中图分类号】R614【文献标识码】B【文章编号】1672-6383(2010)11-0001-03【摘要】目的：对2100例分娩镇痛临床资料进行回顾和分析，探讨椎管内阻滞分娩镇痛的临床应用价值。方法：596例硬膜外阻滞分娩镇痛,1540例腰-硬联合阻滞分娩镇痛。观察孕妇无创血压、心率、呼吸、脉搏血氧饱和度、宫腔压力、胎儿心率、视觉模拟评分(VAS)、改良Bromage评分、产程时间、出血量、新生儿评分、分娩方式、不良反应等。结果:腰-硬联合阻滞分娩镇痛组潜伏期缩短；0.125%布比卡因+2Pg
2、/ml芬太尼硬膜外阻滞分娩镇痛组缩宫素使用率和剖宫产率比较高；蛛网膜下腔注射5卩g〜6Ug,硬膜外维持用0.143%甲磺酸罗哌卡因+0.3ug/ml舒芬太尼的腰-硬联合阻滞分娩镇痛组皮肤瘙痒率比较高。结论：椎管内阻滞分娩镇痛镇痛效果满意，不良反应少，对产妇和新生儿无不良影响。【关键词】分娩镇痛；蛛网膜下腔;硬膜外腔;舒芬太尼;布比卡因；罗哌卡因2100ZuZhiinsidetheZhuitubegivebirthtobabyatownpainclinicalanalysisQuanWeibinZhouChaomingLanChen
3、gyiPengLi【Abstract】Purpose：Therightnessis2100togivebirthtobabyatownpaintheclinicaldatacarryonreviewandanalysis,studyZhuitubeinsideZuZhigivebirthtobabytownpainofclinicalapplicationvalue.Method：596hardZuZhioutsidethefilmgivebirthtobabyatownpain,1540waist-hardconsociatio
4、nZuZhigivebirthtobabytownpain.Observetionthepregnantwomandidn，tcreatebloodpressure,heartrate,breath,pulsebloodoxygensaturationdegree,templechamberpressure,embryo"sheartrate,senseofvisionimitategradepoint(VAS),improvementBromagegradepoint,producedistancetime,bleedquant
5、ity,newborn，sgradepoint,givebirthtobabyway,badreactionetc.・ResuIt:Waist-hardconsociationZutheZhigivebirthtobabyatownpainsettheincubationperiodshorten；0・125%C1othratiocardbecauseof+2aromaofug/mltootheNihardZuZhioutsidethefilmgivebirthtobabyatownpainsetSuotemplevegetabl
6、eutilizationrateandPoutempleproducearatemoreGao；Thespider?swebfilmdescendachambertoinject5ugthe〜be6ugs,hardmaintenaneeoutsidethefilmuse0.143%AHuangsourMaocardbecauseof+0.3Pg/mlcomfortablearomatoothewaistofNi-hardconsociationZuZhigivebirthtobabytownpainsettheskinSaoYan
7、gratemoreGao.Conclusion：TheZuZhiintheZhuitubegivebirthtobabytownpaintownpaineffectsatisfaction,badreactionlittle,allgoodtothepregnantwomanandthenewborninfluence・[Keywords】Givebirthtobabyatownapain；Thespider?swebfilmdescendachamber；Hardchamberoutsidethefilm；Comfortable
8、aromatooNi；Clothratiocardbecauseof；Maocardbecauseof总结我院自1998年至2010年2月临床资料记录完整的分娩镇痛2100例，现回顾分析如下。1.资料与方法1.1病例选择：年龄21岁〜35岁、身高1
