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[神经安定镇痛用于分娩管理]

[Neuroleptic analgesia in the management of labor].

作者信息

Grandjean H, Bertrand J C, Grandjean B, Rème J M, Degoy J, Pontonnier G

出版信息

J Gynecol Obstet Biol Reprod (Paris). 1977 Jun;6(4):563- 77.

PMID:21203
Abstract

Neuroleptic analgesia, which is used for the major part of the conduct of labour, has the advantage of abolishing the pain of uterine contractions without altering the mother's state of consciousness. A study of the effects of droperidol together with phenoperidine on the mother and the child has been carried out. Clinical results, the parameters of the intra-uterine pressure curves and the fetal heart rates as well as of the acid base balance and the pO2 of the mother and infant during dilatation of the cervix and the two first hours of life have been monitored. The conclusion is that neuroleptic analgesia does not cause neonatal depression and can be used as a method for conducting labour so long as very strict monitoring conditions are applied.

摘要

用于分娩大部分过程的神经安定镇痛法具有消除子宫收缩疼痛而不改变母亲意识状态的优点。已开展了一项关于氟哌利多与哌替啶对母亲和胎儿影响的研究。在宫颈扩张期及出生后头两小时内,对母亲和婴儿的临床结果、子宫内压力曲线参数、胎儿心率以及酸碱平衡和pO2进行了监测。结论是,只要采用非常严格的监测条件,神经安定镇痛法不会导致新生儿抑制,可作为一种分娩方法使用。

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