Đánh giá hiệu quả của gây tê ngoài màng cứng để giảm đau sau khi mổ tại Bệnh viện Đại học Y Hà Nội

TCNCYH 65 (6) - 2009

cua SP bj gilm di trung binh la 5,64 kg tfldng flng

vdi gilm di 9,2% thi n trpng trfldc khi de (tfl 4,5 -

7,0kg). Cln nang gil m nbilu nhi t d nhdm de thu

thuat va ft nhit d nhdm md li y thai.

TAI LIEU THA M KHAO

1. Lg Thj Hdp, Pham Thuy Ha (1989). Mi y

nhan xet v l tlnh trang dinh dfldng cua ba me cd

thai va nudi con bu hien nay. Bio cl o khoa hpc,

vien Dinh Dfldng, 6-8 .

2. Nguygn Thj Ngoe Khanh (1995). Gdp phl n

tim hiiu mdt sd dac diem hinh thai cua phu nfl cd

thai v l tre sd sinh. Luan van td't nghiep bi c sT

chuyen khoa ci p II, Trfldng Dai hpc Y Ha Npi.

3. Dam Thj Quynh Lign (2002). Nghien cflu

mpt sd so' do tren phu nfl cd thai va tre sd sinh dii

thing tai Vien Bao ve Ba me va Tre so sinh. Luan

van td't nghiep ble sl ndi tru benh vien, Trfldng

Dai hpc Y Ha Ndi.

4. Bo mdn San, Trfldng Dai hoc Y Ha Noi

(1992). Tfnh chit thai nhi du thing. Bl i giing SP

khoa, Nha Xuit Ban Y hpc, 43 - 48.

Summary

MATERNAL BODY WEIGHT'S CHANGE DURING LABOR

Objectives: to study the change of maternal body weight throught delivery. Methods: prospective study

in 600 paturients at National hospital for Obstetrics and Gynecology in 2007. Results: The mean maternal

weight at onset of the labor is 61.8 kg (normal range: 53 kg to 71 kg). After delivery, the maternal weight

decreased 5.64 kg or 9.2% of body weight at onset of the labor (normal range: 4.5 kg to 7.0 kg).

Conclusion: The maternal body weight is decreased abcut 9.2% thrdught delivery. In greup of cesarean

section, the change is less. . , ,

Keywords: parturient, maternal weight , !,

DANH GIA HIEU QUA CUA GAY TE NGOAI MANG CL/NG

DE GIAM DAU SAU MO TAI BENH VIEN DAI HOC Y HA NOI

Ta Ngan Giang, Nguygn Thj Hffdng Giang, Nguyen Hffu Tu

Tnfdng Dai bgc Y Hi Ngi

Muc tieu: Dinh gii hieu qui giim dau vi cic tic dung khdng mong mudn cua phuang phap gay te ngoai

ming eifng (NMC) ip dung tai benh vien Dai hgc Y Hi Ngi (DHYHN). Bdi tUgng va pbuang pbap nghien cdu:

nghien cdu md ti tien cdu tren 131 benh nhan phiu thuat tai benh vi$n DHYHN dugc dat catheter NMC va

truyen thudc te Hen tuc de giim dau sau md, theo ddi, dinh gia diem dau (VAS) vi cic tic dung khdng mong

mudn trong 72 gid sau md. Ket qua: 91,6% benh nhan cd VAS <4 ca khi nghi vi kbi van dgng tai tat ci cic

thdi diem nghien cdu. Tdc do truyen thudc te (Bupivacain 0,1 %o + Fentanyl 1 - 2 pg/ml) li 5,9 ± 1,1 ml/gid,

khdng cd sU khic biet giifa cic loai phiu thuat. 38,9% benh nhan gap cic tic dung khdng mong mudn, chii

yeu d mde do nhe vi vda. Khdng xiy ra cic tai bien nghiem trgng nhu suy hd ha'p, tut huyet ip. Ket luan: gay

te NMC li phuang phip glim dau an tain vi bleu qua, cd the ip dung cho nhieu loai phiu thuat.

Tff khoa: dau sau mo', giam dau ngoai mang cffng, Bupivacain, Fentanyl

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