地佐辛复合罗哌卡因硬膜外自控镇痛对高龄初产妇剖宫产术后舒适度及Ramsay镇静评分的影响被引量：2

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摘要目的探讨地佐辛复合罗哌卡因硬膜外自控镇痛对高龄初产妇剖宫产术后舒适度及Ramsay镇静评分的影响.方法选取我院高龄初产妇剖宫产患者116例,随机分成两组.对照组予以吗啡复合罗哌卡因硬膜外镇痛,观察组予以地佐辛复合罗哌卡因硬膜外自控镇痛.比较两组术后4h、8h、24h、36h舒适度(BCS评分)、镇静评分(Ramsay评分),不良反应发生率.结果术后4h、8h、24h、36h两组Ramsay评分稳定,组间对比,差异无统计学意义(P>0.05);术后4h、8h、24h、36h观察组BCS评分高于对照组(P<0.05);观察组不良反应发生率8.62%与对照组1.72%对比,差异无统计学意义(P>0.05).结论地佐辛复合罗哌卡因硬膜外自控镇痛镇静效果良好,不良反应少,可提升高龄初产妇剖宫产术后舒适度.

作者张沛重

机构地区河南省南阳医学高等专科学校第一附属医院

出处《首都食品与医药》 2020年第20期91-91,共1页 Capital Food Medicine

关键词地佐辛罗哌卡因自控镇痛高龄初产妇舒适度

分类号 R984 [医药卫生—药品]

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参考文献2

1张晨凌.高龄经产妇、高龄初产妇及非高龄经产妇的妊娠结局比较[J].实用临床医药杂志,2016,20(9):197-198. 被引量：48
2熊志刚,郑永顺,刘晓峰.地佐辛静脉自控镇痛对剖宫产产妇血清泌乳素浓度的影响[J].第三军医大学学报,2016,38(12):1462-1465. 被引量：46

二级参考文献24

1盛开,魏琴.骨科术后应用硬膜外镇痛泵所致的不良反应及应对策略[J].实用心脑肺血管病杂志,2014,22(7):125-126. 被引量：1
2Mokmeli S, Khazemikho N, Niromanesh S, et al. The application of low-level laser therapy after cesarean section does not compromise blood prolactin levels and lactation status [ J ]. Photomed Laser Surg, 2009, 27 (3) : 509 - 512. DOI: 10. 1089/pho. 2008.2314. 被引量：1
3de-Brito-Cancado T O, Omais M, Ashmawi H A, et al. Chronic pain after cesarean section. Influence of anesthetic/ surgical technique and postoperative analgesia [ J ]. Rev Bras Anestesiol, 2012, 62 (6) : 762 - 774. DOI : 10.1016/S0034 - 7094( 12)70177-0. 被引量：1
4Sun Q, Zhou W, Wu B, et al. Dezocine: a novel drug to prevent fentanyl-induced cough during general anesthesia in- duction? [J]. J Anesth, 2012, 26 (3) : 470. DOI: 10. 1007/s00540-011 - 1318-x. 被引量：1
5Sitsen E, van-Poorten F, van-Alphen W, et al. Postopera- tive epidural analgesia after total knee arthroplasty with sufentanil 1 microg/ml combined with ropivacaine 0.2%, ropivacaine 0. 125%, or levobupivacaine 0. 125% : a ran- domized, double-blind comparison [ J ]. Reg Anesth Pain Med, 2007, 32 (6) : 475 - 480. DOI: 10. 1016/j. rapm. 2007.06. 388. 被引量：1
6Fischer B D, Miller L L, Henry F E, et al. Increased effi- cacy of micro-opioid agonist-induced antinociception by metabotropic glutamate receptor antagonists in C57BL/6 mice : comparison with (-) -6-phosphonomethyl-deca- hydroisoquinoline-3-carboxylic acid ( LY235959 ) [J]. Psy- chopharmacology (Berl), 2008, 198(2): 271 -278. DOI: 10. 1007/s00213-008-1130-y. 被引量：1
7Furst S, Hosztafi S. The chemical and pharmacological im- portance of morphine analogues [J]. Acta Physiol Hung, 2008, 95 ( 1 ) : 3 - 44. DOI: 10. 1556/APhysiol. 95. 2008. 1.1. 被引量：1
8Waldenstrdm U,Vigdis A,Anne BVN,et al.Adverse Pregnancy Outcomes Related to Advanced Maternal Age Compared With Smoking and Being Overweight[J].Journal of the American College of Obstetricians and Gynecologists,2014,123(1):104-112. 被引量：1
9Karabulut A,Ozkan S,Bozkurt AI,et al.Perinatal outcomes and risk factors in adolescent and advanced age pregnancies:Comparison with normal reproductive age women[J].Journal of the Institute of Obstetrics and Gynaecology,2013,33(4):346-350. 被引量：1
10蒋红懿,张雅英,周红.高龄产妇初产和经产妊娠结局观察[J].现代预防医学,2008,35(18):3527-3528. 被引量：11