瑞芬太尼静脉分娩镇痛的研究进展
摘要
<正>椎管内分娩镇痛已经得到广泛的开展,硬膜外分娩镇痛因其能够提供足够有效的镇痛及安全性,已经成为最常用的分娩镇痛方法。虽然硬膜外分娩镇痛总体上并没有增加转为剖宫产的概率,但仍然会导致运动阻滞、尿潴留及相关神经并发症的可能性升高,同时有可能使第二产程延长 [1-2]。当存在椎管内麻醉禁忌、椎管内镇痛效果不佳时,可考虑静脉分娩镇痛。静脉镇痛可能引起产妇过度镇静,呼吸抑制和血压下降等不良反应,限制了静脉分娩镇痛的临床应用。静脉分娩镇痛可选的药物包
引文
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[14] Leong WL,Sng BL,Zhang Q,et al.A case series of vital signs-controlled,patient-assisted intravenous analgesia (VPIA) using remifentanil for labour and delivery.Anaesthesia,2017,72(7):845-852.
[15] Blair JM,Dobson GT,Hill DA,et al.Patient controlled analgesia for labour:a comparison of remifentanil with pethidine.Anaesthesia,2005,60(1):22-27.
[16] 汪莉,何旋,柳璐,等.不同时机静脉分娩镇痛对产程和新生儿的影响.贵州医药,2015,39(5):417-418.
[17] Tveit TO,Halvorsen A,Seiler S,et al.Efficacy and side effects of intravenous remifentanil patient-controlled analgesia used in a stepwise approach for labour:an observational study.Int J Obstet Anesth,2013,22(1):19-25.
[18] 王淼,段满林,刘清仁,等.瑞芬太尼用于静脉分娩镇痛的半数有效剂量分析.实用临床医药杂志,2017,21(11):170-171.
[19] 黄彦.不同浓度瑞芬太尼用于分娩镇痛的临床观察.中国处方药,2014,12(6):31-32.
[20] Balki M,Kasodekar S,Dhumne S,et al.Remifentanil patient-controlled analgesia for labour:optimizing drug delivery regimens.Can J Anaesth,2007,54(8):626-633.
[21] Jost A,Ban B,Kamenik M.Modified patient-controlled remifentanil bolus delivery regimen for labour pain.Anaesthesia,2013,68(3):245-252.
[22] Jost A,Blagus R,Ban B,et al.Effect-site concentration of remifentanil during patient-controlled analgesia in labour.Int J Obstet Anesth,2015,24(3):230-236.
[23] 曲元,周岩,白勇,等.靶控输注瑞芬太尼用于分娩镇痛的初步临床研究.中国医刊,2009,44(7):28-30.
[24] Birnbach DJ,Mieke Soens,Reine Zbeidy,et al.Preemptive remifentanil analgesia modality (PRAM):a new paradigm for intravenous labor analgesia.ASA abstract,2009.
[25] Abdalla W,Ammar MA,Tharwat AI.Combination of dexmedetomidine and remifentanil for labor analgesia:A double-blinded,randomized,controlled study.Saudi J Anaesth,2015,9(4):433-438.
[67] Varposhti MR,Ahmadi N,Masoodifar M,et al.Comparison of remifentanil:Entonox with Entonox alone in labor analgesia.Adv Biomed Res,2013,2:87.
[27] 孙晶,齐晓非,黄晓雷.瑞芬太尼复合氧化亚氮用于分娩镇痛的临床研究.海南医学院学报,2013,19(4):534-538.
[28] 李建英,张云龙,李勇晓,等.瑞芬太尼复合羟考酮分娩镇痛临床研究.医药论坛杂志,2015,36(11):130-131.
[2] Vayssière C,Beucher G,Dupuis O,et al.Instrumental delivery:clinical practice guidelines from the French College of Gynaecologists and Obstetricians.Eur J Obstet Gynecol Reprod Biol,2011,159(1):43-48.
[3] Devabhakthuni S.Efficacy and safety of remifentanil as an alternative labor analgesic.Clin Med Insights Womens Health,2013,6:37-49.
[4] Weibel S,Jelting Y,Afshari A,et al.Patient-controlled analgesia with remifentanil versus alternative parenteral methods for pain management in labour.Cochrane Database Syst Rev,2017,4:CD011989.
[5] Douma MR,Middeldorp JM,Verwey RA,et al.A randomised comparison of intravenous remifentanil patient-controlled analgesia with epidural ropivacaine/sufentanil during labour.Int J Obstet Anesth,2011,20(2):118-123.
[6] Wilson M,MacArthur C,Hewitt C,et al.Intravenous remifentanil patient-controlled analgesia versus intramuscular pethidine for pain relief in labour(RESPITE):an open-label,multicentre,randomised controlled trial.Lancet,2018,392(10148):662-672.
[7] Ismail MT,Hassanin MZ.Neuraxial analgesia versus intravenous remifentanil for pain relief in early labor in nulliparous women.Arch Gynecol Obstet,2012,286(6):1375-1381.
[8] Douma MR,Middeldorp JM,Verwey RA,et al.A randomised comparison of intravenous remifentanil patient-controlled analgesia with epidural ropivacaine/sufentanil during labour.Int J Obstet Anesth,2011,20(2):118-123.
[9] Tveit TO,Seiler S,Halvorsen A,et al.Labour analgesia:a randomised,controlled trial comparing intravenous remifentanil and epidural analgesia with ropivacaine and fentanyl.Eur J Anaesthesiol,2012 ,29(3):129-136.
[10] Blair JM,Hill DA,Fee JP.Patient-controlled analgesia for labour using remifentanil:a feasibility study.Br J Anaesth,2001,87(3):415-420.
[11] Volmanen P,Akural EI,Raudaskoski T,et al.Remifentanil in obstetric analgesia:a dose-finding study.Anesth Analg,2002,94(4):913-917.
[12] Lin R,Tao Y,Yu Y,et al.Intravenous remifentanil versus epidural ropivacaine with sufentanil for labour analgesia:a retrospective study.PLoS One,2014,9(11):e112283.
[13] D'Onofrio P,Novelli AM,Mecacci F,et al.The efficacy and safety of continuous intravenous administration of remifentanil for birth pain relief:an open study of 205 parturients.Anesth Analg,2009,109(6):1922-1924.
[14] Leong WL,Sng BL,Zhang Q,et al.A case series of vital signs-controlled,patient-assisted intravenous analgesia (VPIA) using remifentanil for labour and delivery.Anaesthesia,2017,72(7):845-852.
[15] Blair JM,Dobson GT,Hill DA,et al.Patient controlled analgesia for labour:a comparison of remifentanil with pethidine.Anaesthesia,2005,60(1):22-27.
[16] 汪莉,何旋,柳璐,等.不同时机静脉分娩镇痛对产程和新生儿的影响.贵州医药,2015,39(5):417-418.
[17] Tveit TO,Halvorsen A,Seiler S,et al.Efficacy and side effects of intravenous remifentanil patient-controlled analgesia used in a stepwise approach for labour:an observational study.Int J Obstet Anesth,2013,22(1):19-25.
[18] 王淼,段满林,刘清仁,等.瑞芬太尼用于静脉分娩镇痛的半数有效剂量分析.实用临床医药杂志,2017,21(11):170-171.
[19] 黄彦.不同浓度瑞芬太尼用于分娩镇痛的临床观察.中国处方药,2014,12(6):31-32.
[20] Balki M,Kasodekar S,Dhumne S,et al.Remifentanil patient-controlled analgesia for labour:optimizing drug delivery regimens.Can J Anaesth,2007,54(8):626-633.
[21] Jost A,Ban B,Kamenik M.Modified patient-controlled remifentanil bolus delivery regimen for labour pain.Anaesthesia,2013,68(3):245-252.
[22] Jost A,Blagus R,Ban B,et al.Effect-site concentration of remifentanil during patient-controlled analgesia in labour.Int J Obstet Anesth,2015,24(3):230-236.
[23] 曲元,周岩,白勇,等.靶控输注瑞芬太尼用于分娩镇痛的初步临床研究.中国医刊,2009,44(7):28-30.
[24] Birnbach DJ,Mieke Soens,Reine Zbeidy,et al.Preemptive remifentanil analgesia modality (PRAM):a new paradigm for intravenous labor analgesia.ASA abstract,2009.
[25] Abdalla W,Ammar MA,Tharwat AI.Combination of dexmedetomidine and remifentanil for labor analgesia:A double-blinded,randomized,controlled study.Saudi J Anaesth,2015,9(4):433-438.
[67] Varposhti MR,Ahmadi N,Masoodifar M,et al.Comparison of remifentanil:Entonox with Entonox alone in labor analgesia.Adv Biomed Res,2013,2:87.
[27] 孙晶,齐晓非,黄晓雷.瑞芬太尼复合氧化亚氮用于分娩镇痛的临床研究.海南医学院学报,2013,19(4):534-538.
[28] 李建英,张云龙,李勇晓,等.瑞芬太尼复合羟考酮分娩镇痛临床研究.医药论坛杂志,2015,36(11):130-131.