硝酸甘油与特布他林用于接受椎管内麻醉的产妇行外倒转术的比较：一项回顾性分析。
Comparison of Nitroglycerin and Terbutaline for External Cephalic Version in Women Who Received Neuraxial Anesthesia: A Retrospective Analysis.
机构信息
From the *Department of Anesthesiology, Pain, and Perioperative Medicine, Icahn School of Medicine, New York, New York †Department of Internal Medicine, Northwell Health John T. Mather Memorial Hospital, Port Jefferson, New York ‡City University of New York School of Medicine, New York, New York §Department of Obstetrics, Gynecology, and Reproductive Sciences, Icahn School of Medicine, New York, New York.
出版信息
Anesth Analg. 2020 Mar;130(3):e58-e62. doi: 10.1213/ANE.0000000000004155.
External cephalic version is a technique that decreases the need for cesarean delivery in patients with breech presentation. Several techniques exist to increase the success of external cephalic version; however, there are no studies comparing different tocolytics in patients who also received neuraxial anesthesia. We, therefore, performed a review of 198 patients who presented for external cephalic version and compared their success rates based on the tocolytic medication utilized. The external cephalic version success rate for patients who received terbutaline was significantly higher than for those who received nitroglycerin (N [%]: 57 [65.6] terbutaline group versus 40 [36.0] nitroglycerin group; P < .001).
经阴道外倒转术是一种可降低臀位产妇行剖宫产率的技术。有多种方法可提高经阴道外倒转术的成功率；然而，目前尚无研究比较在接受椎管内麻醉的患者中，不同的宫缩抑制剂的效果。因此，我们对 198 例行经阴道外倒转术的患者进行了回顾性分析，并根据所使用的宫缩抑制剂药物比较了他们的成功率。接受特布他林的患者经阴道外倒转术的成功率显著高于接受硝酸甘油的患者（%：特布他林组 57 [65.6]例，硝酸甘油组 40 [36.0]例；P <.001）。
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