Adamski D, Kruszyński Z, Wiewiórowski K, Kowalski G, Mańczak M
Szpitala Prywatnego Korvita S.A., Poznaniu.
Ginekol Pol. 1994 Jul;65(7):394-9.
We have compared effects of epidural analgesia in labour in two groups containing 35 primiparous each and in two groups containing 35 multiparous each. We have administered either bupivacaine or bupivacaine with fentanyl. We have compared duration of the 1-st and the 2-nd stage labour, efficiency of analgesia, quantity of administered bupivacaine, method of delivery and condition of the newborn. This investigation has shown that use of 0.25% bupivacaine with fentanyl requires less quantity of bupivacaine in both groups of primiparous and multiparous. The addition of fentanyl to 0.25% bupivacaine can be beneficial alternative of epidural analgesia in labour.
我们比较了两组各35名初产妇和两组各35名经产妇分娩时硬膜外镇痛的效果。我们分别给予布比卡因或布比卡因加芬太尼。我们比较了第一产程和第二产程的持续时间、镇痛效果、布比卡因的给药量、分娩方式及新生儿状况。这项研究表明，在初产妇组和经产妇组中，使用0.25%布比卡因加芬太尼时布比卡因的用量较少。在0.25%布比卡因中添加芬太尼可能是分娩时硬膜外镇痛的有益替代方法。
