[Epidural morphine for obstetrical pain relief (author's transl)].

Anesthesie, analgesie, reanimation Pub Date : 1981-01-01
A Muller, B Laugner, J M Farcot, M Singer, P Gauthier-Lafaye, R Gandar
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Abstract

Twenty five healthy pregnant women received an epidural injection (at levels varying from T11-T12 to L3-L4) of morphine (2 or 3 mg in 10 ml of saline solution 9 p. thousand) in order to achieve pain relief for delivery. The degree of dilation never exceeded 5 cm at time of injection. Pain level decreased in 22 cases (88 p. cent) but only 16 women (64 p. cent) were fully satisfied. Hypoalgesia begun after 25 minutes and disappeared after 19 hours. No respiratory or haemodynamic changes were noted. On the other hand, the duration of the first stage of labour decreased. The best results are seen when injection is achieved at highest levels, facing spinal cord segments supplying the cervix and the perineum. No newborn showed any sign of respiratory or neurologic depression.

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[硬膜外吗啡用于产科镇痛(作者译)]。
25名健康孕妇接受了硬膜外注射吗啡(浓度从T11-T12到L3-L4不等)(在10毫升生理盐水中注射2或3毫克),以减轻分娩时的疼痛。注射时扩张程度未超过5 cm。22例(88%)患者疼痛减轻,但只有16例(64%)患者完全满意。25分钟后出现痛觉减退,19小时后消失。未见呼吸或血流动力学变化。另一方面,第一产程的时间缩短了。最好的结果是在最高水平注射,面向供应子宫颈和会阴的脊髓节段。没有新生儿表现出任何呼吸或神经系统抑郁的迹象。
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