论文部分内容阅读
目的 探讨吗啡术后镇痛对产妇及哺乳新生儿的影响。方法 选择剖宫产术的产妇 6 0例 ,分为实验组和对照组 ,均采用连续硬膜外麻醉 ,麻醉药为 2 %利多卡因 ,在手术结束时 ,实验组注入吗啡 2mg。采集新生儿和产妇的尿样 ,用荧光偏振免疫法 (FPIA)测定尿液中吗啡及代谢产物。结果 96 6 %镇痛效果明显P <0 0 5 ,实验组和对照组的新生儿和产妇的呼吸、心率、血压变化比较 P >0 0 5。测定产妇尿样 96 7%阳性 ,新生儿 86 7%阴性。结论 剖宫产术硬膜外腔应用吗啡镇痛 ,对新生儿没有影响 ,是安全可行的
Objective To investigate the effect of postoperative morphine analgesia on maternal and lactating neonates. Methods Cesarean section maternal 60 cases were divided into experimental group and control group, both using continuous epidural anesthesia, 2% lidocaine anesthesia, at the end of surgery, experimental group injected morphine 2mg. Urine samples from newborns and mothers were collected and urine morphine and metabolites were measured by fluorescence polarization immunoassay (FPIA). Results 96 6% analgesic effect was significantly P <0 05, the experimental group and control group neonatal and maternal respiratory, heart rate, blood pressure changes compared P> 0 0 5. 96.7% of maternal urine samples were positive, while 86.7% of newborns were negative. Conclusion Cesarean section epidural morphine analgesia, no effect on the newborn, is safe and feasible