| 鲍静影,张俊,汪洋,等.预防性皮下注射阿托品用于瑞芬太尼分娩镇痛临床观察[J].安徽医药,2018,22(3):502-504. |
| 预防性皮下注射阿托品用于瑞芬太尼分娩镇痛临床观察 |
| Clinical observation of preventive subcutaneous injection of atropine for remifentanil labor analgesia |
| 投稿时间：2016-09-27 |
| DOI： |
| 中文关键词: 瑞芬太尼 阿托品 分娩镇痛 |
| 英文关键词: atropine remifentanil labor analgesia |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨预防性皮下注射阿托品对静脉瑞芬太尼在分娩镇痛中产生不良反应的预防作用。 方法 选择单胎足月初产妇70例,所有产妇按随机数字表法均分为阿托品组和常规组,比较两组无创血压、心率、血氧饱和度、胎心率和基线变异率、新生儿Apgar评分及产程时间。 结果 两组孕妇年龄、体质量、孕周等一般资料比较差异无统计学意义。阿托品组孕妇血压、心率、血氧饱和度均高于常规组,胎心率、胎心变异系数减少均高于常规组,差异有统计学意义。阿托品组产程中紧急事件发生较常规组减少,差异无统计学意义；产后满意度较常规组增加,但差异无统计学意义。阿托品组第一、二、三产程均短于常规组,差异有统计学意义。两组新生儿双顶径,新生儿 1、5 min Apgar 评分比较差异无统计学意义。 结论 预防性皮下注射阿托品可显著改善瑞芬太尼的不良反应,是一种安全、有效的治疗方案。 |
| 英文摘要: |
| Objective To discuss the preventive effect of subcutaneous injection of atropine for remifentanil labor analgesia. Methods Seventy primipara were randomly assigned into atropine group and normal group.Noninvasive blood pressure,heart rate,oxygen saturation,baseline fetal heart rate and fetal heart rate,neonatal Apgar score and labor time were compared between two groups. Results Two groups of pregnant women′s general information,such as age,body mass,gestational age had no statistically significant differences.In atropine group,pregnant women′s blood pressure,heart rate and oxygen saturation were higher than those in normal group.The differences were statistically significant.In atropine group,the occurrence rate of emergency incident was less than that in normal group;the difference was statistically significant.Compared with normal group,pregnant women′s satisfaction in atropine group was increased,but there was no statistically significant difference between the two groups.Compared with normal group,the first,second and third stages of labor in atropine group were shorter,the differences were statistically significant.Double top diameter,1 min and 5 min Apgar score of newborn babies had no statistically significant differences. Conclusions Preventive subcutaneous injection of atropine can improve on the side effects induced by remifentanil,which is a safe and effective treatment. |
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