Matsumoto Emi, Yoshimura Kazuaki, Nakamura Eiichiro, Hachisuga Toru, Kashimura Masamichi
Department of Obstetrics and Gynecology, University of Occupational and Environmental Health, Fukuoka, Japan.
J Opioid Manag. 2009 Nov-Dec;5(6):379-82. doi: 10.5055/jom.2009.0038.
It is not easy to diagnose lumbar disc herniation during pregnancy due to the limitation of the examinations and it is also difficult to control the severe pain during this time. A pregnant woman with lumbar disc herniation was transferred to our hospital at the 23rd week of gestation. The pain was successfully controlled with opioids and epidural anesthesia. At the 35th week of gestation, she delivered a girl weighing 2316 g smoothly with an Apgar score of 8/9 without neonatal abstinence syndrome from morphine. In this case, opioid administration was found to be useful for perinatal care with lumbar disc herniation.
由于检查的局限性,孕期诊断腰椎间盘突出症并不容易,而且在此期间控制剧痛也很困难。一名患有腰椎间盘突出症的孕妇在妊娠第23周被转到我院。通过使用阿片类药物和硬膜外麻醉,疼痛得到了成功控制。在妊娠第35周时,她顺利产下一名体重2316克的女婴,阿氏评分8/9,且未出现因吗啡导致的新生儿戒断综合征。在这个病例中,发现阿片类药物给药对患有腰椎间盘突出症的围产期护理有用。