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瑞芬太尼自控镇痛泵对分娩的镇痛作用及对产程的影响
作者:陈亭亭 
单位:潍坊市中医院 产科, 山东 潍坊 261000
关键词:瑞芬太尼 自控镇痛泵 分娩镇痛 产程 
分类号:R614.1;R714.3
出版年·卷·期(页码):2016·35·第四期(589-592)
摘要:

Objective:To study the effects of remifentanil patient-controlled analgesia(PCA) pump on labor analgesia and stages of labor in pimiparas' head-position delivery. Methods:Two hundred and forty puerperas treated in Obstetrics Department of Weifang Traditional Chinese Medicine Hospital from Jan. 2013 to Dec. 2015 were selected for this study, and they were divided into remifen group(with remifentanil patient controlled analgesia pump), N2O group(with N2O) and blank group(routine care without analgesia treatment) with 80 in each group. The difference of pain of uterus systole and duration of labor stages between the three groups was compared. Results:No cesarean section was performed in remifen group, and VAS score of analgesia at 15 min, 30 min and at the time of full cervical dilation was significantly lower than that of the blank group. VAS score of analgesia at 30 min and at the time of full cervical dilation in remifen group was significantly lower than that of N2O group with statistically significant difference(P<0.05). The active period and total stage of labor in Remifen group were lower than those in the N2O group and blank group, the difference being statistically significant(P<0.05). Conclusion:Application of remifentanil PCA pump in puerperas with cervical dilation over 4 cm can significantly relieve labor pain, reduce physical energy consumption and shorten the stage of labor.

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