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目的 探讨小剂量吗啡注入蛛网膜下腔用于分娩镇痛的效果与实用性。方法 蛛网膜下腔镇痛组 (S组 )与对照组 (C组 )各 60例初产妇 ,S组蛛网膜下腔注入吗啡 0 8mg ;观察两组产妇、新生儿情况、产痛、产程进展及产后并发症情况。结果 与对照组比较 ,镇痛组对新生儿、产程进展无影响 (P >0 .0 5 ) ,产痛明显减轻 (P <0 .0 1) ,但产后恶心、呕吐、瘙痒发生率增高 (P <0 .0 5 )。结论 蛛网膜下腔注入小剂量吗啡行分娩镇痛 ,效果肯定 ,对产程无影响 ,但其恶心、呕吐、瘙痒等并发症需引起重视
Objective To investigate the efficacy and practicability of low dose morphine injection into subarachnoid space for labor analgesia. Methods 60 cases of primiparous women in subarachnoid analgesia group (group S) and control group (group C) and 0 mg morphine in subarachnoid space of group S were observed. The progress of labor and labor process were observed in both groups And postpartum complications. Results Compared with the control group, the analgesic group had no effect on the progression of newborn and labor (P> 0.05), the pain was relieved (P <0.01), but the incidence of postpartum nausea, vomiting and itching increased P <0. 05). Conclusion Subarachnoid injection of low dose of morphine in labor analgesia with positive results has no effect on labor, but its nausea, vomiting, itching and other complications need attention