【吗啡在剖宫产术中的应用及术后镇痛】。

Cahiers d'anesthesiologie Pub Date : 1996-01-01
D Milon, J C Sicsic, M Robin, M L Cressy
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引用次数: 0

摘要

硬膜外阿片类药物用于剖宫产是许多麻醉师常规使用的。局部麻醉剂和阿片类药物联合硬膜外注射可更快地起效深度镇痛。硬膜外“微剂量”舒芬太尼或芬太尼对母亲或新生儿均无副作用,但术后镇痛持续时间短。鞘内联合注射0.1 ~ 0.2 mg吗啡和0.5%高压布比卡因可获得较好的术中、术后镇痛效果。在分娩前中毒妇女麻醉期间使用阿片类药物意味着严格的后续儿科护理。鞘内吗啡或患者自控镇痛均可获得良好的术后镇痛效果。使用其他技术取决于护理和监视设施。经脊髓或静脉注射的阿片类药物对母乳喂养的新生儿没有危险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Morphine in cesarean section and postoperative analgesia].

Epidural opioids for caesarean section are routinely used by many anaesthesists. Combined epidural injection of a local anaesthetic and an opioid provides a more rapid onset of profound analgesia. No side effects are observed in either the mother or the neonate with epidural "microdoses" of sufentanil or fentanyl, but the postoperative analgesia is of short duration. Combined intrathecal injection on 0.1-0.2 mg morphine and 0.5% hyperbaric bupivacaine provides a better intra- and postoperative analgesia. Opiates used during anaesthesia in toxemic women before delivery imply strict subsequent paediatric care. Good postoperative analgesia can be obtained with intrathecal morphine or patient-controlled analgesia. Using other techniques depends on care and surveillance facilities. Opiates by spinal or intravenous route are not dangerous for breast-fed newborns.

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