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首页> 外文期刊>International journal of obstetric anesthesia >Prescribing intramuscular opioids for labour analgesia in consultant-led maternity units: a survey of UK practice.
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Prescribing intramuscular opioids for labour analgesia in consultant-led maternity units: a survey of UK practice.

机译：在由顾问领导的产科部门开具肌内阿片类药物进行分娩镇痛：对英国实践的调查。

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BACKGROUND: Intramuscular opioids are widely used for analgesia in labour. We conducted a postal survey to establish current prescribing and monitoring guidelines for intramuscular opioids in consultant-led obstetric units in the UK. METHODS: A postal questionnaire was sent between December 2005 and January 2006 to the lead obstetric anaesthetist of all 234 consultant-led obstetric units in the UK. We enquired about dose regimens of intramuscular opioids in labour and monitoring of mother, fetus and neonate. RESULTS: The response rate was 71%; 84.4% of responding units used pethidine and 34.1% diamorphine. Meptazinol and morphine were available in 13.8% and 13.2% of units respectively. Some units used more than one opioid. The choice of opioid was dictated mainly by tradition (65.3%) and familiarity (40.7%). Prophylactic antiemetics were co-administered in 73.7% of units, the most commonly used being prochlorperazine (30.5%). Vital signs were monitored in 91.6% of units: in total 10.2% measured haemoglobin oxygen saturations and 4.8% respiratory rate. Pain scores were recorded in 13.7% of units. CONCLUSIONS: When compared with previous studies the use of intramuscular diamorphine is increasing in UK consultant-led obstetric units, although pethidine remains the widely used opioid. At present this change cannot be justified by a suitably powered, randomised study comparing intramuscular pethidine with diamorphine.
机译：背景：肌内阿片类药物被广泛用于分娩镇痛。我们进行了一项邮政调查，以建立在英国由顾问领导的产科部门中肌内阿片类药物的现行处方和监测指南。方法：2005年12月至2006年1月之间，向英国所有234名由顾问领导的产科部门的产科麻醉师发送了邮政问卷。我们询问了劳动中肌内阿片类药物的剂量方案以及对母亲，胎儿和新生儿的监测。结果：有效率71％。 84.4％的反应单位使用了哌替啶和34.1％的二氢吗啡。美他嗪醇和吗啡的单位含量分别为13.8％和13.2％。有些单位使用了不止一种阿片类药物。阿片类药物的选择主要由传统（65.3％）和熟悉程度（40.7％）决定。预防性止吐药以73.7％的单位共同使用，最常用的是氯丙嗪（30.5％）。以91.6％的单位监测生命体征：总共测得的血红蛋白氧饱和度为10.2％，呼吸频率为4.8％。疼痛分数记录为13.7％的单位。结论：与哌替啶仍然是广泛使用的阿片类药物相比，在英国顾问领导的产科部门中，肌内二氢吗啡的使用正在增加。目前，这种变化不能通过将肌内哌替啶与二甲吗啡进行比较的有力的随机研究来证明。

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