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[引产时的主要目的硬膜外镇痛]

[Primary-purpose peridural analgesia in labor induction].

作者信息

Masliah-Planchon R, Lavigne F, Cohen H, Lespagnol M, Claquin C, Frydman R, Papiernik E, Noviant Y

出版信息

Cah Anesthesiol. 1984 Sep;32(5):403-7.

PMID:6525550
Abstract

21 parturients, showing in most of cases either high blood pressure badly controlled or a "real" out of date term, have undergone a peridural analgesia of first intention in labour induction. All these patients were considered to be uninducable according to Bishop score. After an injection of adrenalinized bupivacaïne, either 0.25% or 0.375% rupture depending on state of cervix of membranes occurred in most cases 6 hours after peridural analgesia. The mean between onset of analgesia and delivery was 17 h and the mean time between induction with ocytocin to birth 5 h 37 min. 16 parturients gave birth per vaginam, 9 of which spontaneously 5 have undergone caesarian section because of a non lack of dilatation or foetal distress. Children at birth, at the 2nd and the 24th hour were all healthy.

摘要

21名产妇,多数情况下要么高血压控制不佳,要么孕周“确实”过期,她们在引产时接受了首次硬膜外镇痛。根据Bishop评分,所有这些患者都被认为难以引产。注射肾上腺素化布比卡因后(浓度为0.25%或0.375%,根据宫颈情况而定),多数情况下在硬膜外镇痛6小时后胎膜破裂。镇痛开始至分娩的平均时间为17小时,缩宫素引产至分娩的平均时间为5小时37分钟。16名产妇经阴道分娩,其中9名自然分娩,5名因宫口未开全或胎儿窘迫而行剖宫产。出生时、出生后第2小时和第24小时的婴儿均健康。

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CO2-bupivacaine for continuous epidural anesthesia in obstetrics.
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