Nghiên cứu tác dụng trên tuần hoàn, hô hấp và các tác dụng không mong muốn của giảm đau ngoài màng cứng sản khoa bằng ropivacain ở hai nồng độ là 0,1% và 0,15% cùng phối hợp Fentanyl

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Tác giả: Trung Quyền Đoàn, Đức Lam Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại: 615.781 Anesthetics

Thông tin xuất bản: Y học Việt Nam, 2017

Mô tả vật lý: 59-62

Bộ sưu tập: Metadata

ID: 536600

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Tóm tắt
Chủ đề

The study conducted on 100 women in labor with epidural anesthesia in Hanoi Obstetric and Gynecology hospital and were randomized into two groups: Group I used Ropivacaine 0.1% and group II used Ropivacaine 0.15%, both groups are combined with fentanyl 2 mcg/ml. Anesthetic solution will be perfused continuously using a electncal synnge through the epidural catheter and dose adjusted according to the response of women. The study results show that heart rate, arterial blood pressure, respiratory frequency, capillary oxygen saturaton of the two groups were not significantly different at all study points
The side effects of the two groups, respectively, were
the incidence of back pain was 6% versus 4%
nausea, vomiting was 4% compared to 8%
itching was 14% compared to 12%
chills are 14% compared to 14%. Conclusion: Epidural analgesia with ropivacaine 0,15% combined with fentanyl 2 mcg/ml did not affect on maternal circulation, respiration and had the same side effects as Ropivacain 0.1% combined with fentanyl 2 mcg/ml.Tiến hành giảm đau bằng gây tê ngoài màng cứng cho 100 sản phụ chuyển dạ đẻ thường tại bệnh viện Phụ sản Hà Nội. 100 sản phụ được chia ngẫu nhiên thành 2 nhóm, nhóm I sử dụng ropivacain 0,1% và nhóm II sử dụng ropivacain 0,15%, cả 2 nhóm đều được phối hợp với fentanyl 2mcg/ml. Kết quả cho thấy mạch, huyết áp động mạch, tần số thở, bão hòa oxy mao mạch của các sản phụ ở 2 nhóm không có sự khác biệt ở tất cả các thời điểm nghiên cứu. Tác dụng không mong muốn của 2 nhóm tương ứng là: tỷ lệ đau lưng nơi chọc kim 6% và 4%
nôn, buồn nôn: 4% và 8%
ngứa là 14% và 12%
rét run là 14% và 14%.

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