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1
Fetal circulation during epidural analgesia for caesarean section.剖宫产硬膜外镇痛期间的胎儿循环。
Br Med J (Clin Res Ed). 1984 May 5;288(6427):1329-30. doi: 10.1136/bmj.288.6427.1329.
2
Epidural block with ropivacaine and bupivacaine for elective caesarean section: maternal cardiovascular parameters, comfort and neonatal well-being.罗哌卡因和布比卡因用于择期剖宫产的硬膜外阻滞:产妇心血管参数、舒适度及新生儿健康状况
Curr Med Res Opin. 2004 Jan;20(1):7-12. doi: 10.1185/030079903125002649.
3
The effects of epidural ropivacaine and bupivacaine for cesarean section on uteroplacental and fetal circulation.剖宫产术中硬膜外注射罗哌卡因和布比卡因对子宫胎盘及胎儿循环的影响。
Anesthesiology. 1995 Jul;83(1):23-32. doi: 10.1097/00000542-199507000-00004.
4
Effects of extradural anaesthesia on human fetal blood flow in utero. Comparison of three local anaesthetic solutions.硬膜外麻醉对人胎儿宫内血流的影响。三种局部麻醉溶液的比较。
Br J Anaesth. 1987 Oct;59(10):1265-72. doi: 10.1093/bja/59.10.1265.
5
Epidural anesthesia for cesarean section: a comparison of bupivacaine, chloroprocaine, and etidocaine.剖宫产硬膜外麻醉:布比卡因、氯普鲁卡因和依替卡因的比较。
Anesthesiology. 1980 Jan;52(1):48-51. doi: 10.1097/00000542-198001000-00010.
6
Effects of extradural bupivacaine with adrenaline for caesarean section on uteroplacental and fetal circulation.硬膜外布比卡因联合肾上腺素用于剖宫产对子宫胎盘及胎儿循环的影响。
Br J Anaesth. 1991 Dec;67(6):678-82. doi: 10.1093/bja/67.6.678.
7
[Bupivacaine for peridural anesthesia in cesarean section].
Reg Anaesth. 1986 Jul;9(3):64-7.
8
Uteroplacental and fetal circulation during extradural bupivacaine-adrenaline and bupivacaine for caesarean section in hypertensive pregnancies with chronic fetal asphyxia.硬膜外布比卡因-肾上腺素与布比卡因用于慢性胎儿窘迫的高血压妊娠剖宫产时的子宫胎盘及胎儿循环
Br J Anaesth. 1993 Sep;71(3):348-53. doi: 10.1093/bja/71.3.348.
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Thoracic epidural analgesia -- a double blind study between etidocaine and bupivacaine.胸段硬膜外镇痛——依替卡因与布比卡因的双盲研究。
Acta Anaesthesiol Scand Suppl. 1975;60:72-5.
10
The effect of epidural anaesthesia for caesarean section on maternal uterine and fetal umbilical artery blood flow velocity waveforms.
Br J Obstet Gynaecol. 1987 Jan;94(1):55-9. doi: 10.1111/j.1471-0528.1987.tb02253.x.

引用本文的文献

1
Labor analgesia in parturients of fetal growth restriction having raised umbilical Doppler vascular indices.胎儿生长受限且脐动脉多普勒血流指标升高的产妇的分娩镇痛
J Anaesthesiol Clin Pharmacol. 2018 Jan-Mar;34(1):11-17. doi: 10.4103/joacp.JOACP_150_16.
2
The effects of spinal anaesthesia for elective caesarean section on uterine and umbilical arterial pulsatility indexes in normotensive and chronic hypertensive pregnant women: a prospective, longitudinal study.脊麻用于择期剖宫产对血压正常和慢性高血压孕妇子宫及脐动脉搏动指数的影响:一项前瞻性纵向研究。
BMC Pregnancy Childbirth. 2014 Aug 28;14:291. doi: 10.1186/1471-2393-14-291.
3
Comparative evaluation of epidural bupivacaine - dexmedetomidine and bupivacaine -fentanyl on Doppler velocimetry of uterine and umbilical arteries during labor.分娩期间硬膜外布比卡因-右美托咪定与布比卡因-芬太尼对子宫和脐动脉多普勒测速的比较评估
J Prenat Med. 2012 Jul;6(3):47-54.
4
Epidural anaesthesia and blood flow velocity in mother and fetus.
Can J Anaesth. 1989 Sep;36(5):519-22. doi: 10.1007/BF03005378.

本文引用的文献

1
Fetal cardiac anatomy and vascular dynamics.胎儿心脏解剖结构与血管动力学。
Clin Obstet Gynecol. 1981 Sep;24(3):837-49. doi: 10.1097/00003081-198109000-00010.
2
Influence of mepivacaine on isolated human foetal hearts at normal and low pH.甲哌卡因对正常及低pH值下离体人胎儿心脏的影响。
Acta Physiol Scand Suppl. 1970;353:34-47.

剖宫产硬膜外镇痛期间的胎儿循环。

Fetal circulation during epidural analgesia for caesarean section.

作者信息

Lindblad A, Marsál K, Vernersson E, Renck H

出版信息

Br Med J (Clin Res Ed). 1984 May 5;288(6427):1329-30. doi: 10.1136/bmj.288.6427.1329.

DOI:10.1136/bmj.288.6427.1329
PMID:6424844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1440953/
Abstract

Fetal blood flow was examined during epidural analgesia in six women with uncomplicated pregnancies undergoing elective caesarean section. A non-invasive, ultrasonic technique was used to measure blood flow in the fetal descending aorta and intra-abdominal part of the umbilical vein before induction of analgesia with etidocaine and bupivacaine and 15 and 30 minutes afterwards. No appreciable change in fetal blood flow was observed.

摘要

对六名接受择期剖宫产且妊娠过程无并发症的女性,在硬膜外镇痛期间进行了胎儿血流检查。采用一种非侵入性超声技术,在使用依替卡因和布比卡因进行镇痛诱导前、诱导后15分钟和30分钟,测量胎儿降主动脉和脐静脉腹内段的血流。未观察到胎儿血流有明显变化。