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Failure of epidural morphine to relieve pain in labour.

作者信息

Husemeyer R P, O'Connor M C, Davenport H T

出版信息

Anaesthesia. 1980 Feb;35(2):161-3. doi: 10.1111/j.1365-2044.1980.tb03797.x.

DOI:10.1111/j.1365-2044.1980.tb03797.x
PMID:7386835
Abstract

Lumbar epidural injections of 2 mg preservative-free morphine were given to 10 subjects in established labour. Assessment of pain using a visual analogue scoring system revealed no appreciable relief of pain 30 min after morphine infection. Analgesia was subsequently provided by epidural injection of 8 ml bupivacaine 0.375%. Failure of epidural 2 mg in the treatment of severe pain other than labour. Possible explanations for this discrepancy are discussed.

摘要

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引用本文的文献

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Clinical experience of epidural fentanyl for labor pain.硬膜外注射芬太尼用于分娩镇痛的临床经验
J Anesth. 1987 Mar 1;1(1):93-5. doi: 10.1007/s0054070010093.
2
Epidural morphine and post-operative pain relief.
Can Anaesth Soc J. 1981 Sep;28(5):453-8. doi: 10.1007/BF03010355.
3
[Peridural analgesia with high doses of fentanyl: failure of the method for early postoperative kinesitherapy in knee surgery].[高剂量芬太尼硬膜外镇痛:膝关节手术早期术后运动疗法的方法失败]
Can Anaesth Soc J. 1982 Nov;29(6):587-92. doi: 10.1007/BF03007746.
4
Epidural use of morphine in managing the pain of carneous degeneration of a uterine leiomyoma during pregnancy.硬膜外使用吗啡治疗妊娠期子宫平滑肌瘤肉质变性的疼痛。
Can Med Assoc J. 1982 Mar 1;126(5):505-6.
5
A study of pethidine kinetics and analgesia in women in labour following intravenous, intramuscular and epidural administration.一项关于静脉注射、肌肉注射和硬膜外给药后分娩期妇女哌替啶动力学及镇痛效果的研究。
Br J Clin Pharmacol. 1982 Feb;13(2):171-6. doi: 10.1111/j.1365-2125.1982.tb01352.x.
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Intrathecal morphine as sole analgesic during labour.分娩期间鞘内注射吗啡作为唯一的镇痛药。
Br Med J. 1980 Aug 2;281(6236):351-3. doi: 10.1136/bmj.281.6236.351.
7
Complications of continuous intraspinal narcotic analgesia.
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Extradural diamorphine in the control of pain following lumbar laminectomy.硬膜外注射二醋吗啡用于控制腰椎椎板切除术后的疼痛
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Bupivacaine versus bupivacaine plus fentanyl for epidural analgesia: effect on maternal satisfaction.布比卡因与布比卡因加芬太尼用于硬膜外镇痛:对产妇满意度的影响。
BMJ. 1991 Mar 9;302(6776):564-7. doi: 10.1136/bmj.302.6776.564.