{"id":82948,"date":"2018-03-10T00:07:03","date_gmt":"2018-03-10T00:07:03","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/aportaciones-al-estudio-de-la-analgesia-epidural-en-obstetricia\/"},"modified":"2018-03-10T00:07:03","modified_gmt":"2018-03-10T00:07:03","slug":"aportaciones-al-estudio-de-la-analgesia-epidural-en-obstetricia","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/aportaciones-al-estudio-de-la-analgesia-epidural-en-obstetricia\/","title":{"rendered":"Aportaciones al estudio de la analgesia epidural en obstetricia."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Margarita Bilbao Liseca <\/strong><\/h2>\n<p>Objetivos  comparar los efectos de dos perfusiones epidurales de bupivaca\u00edna a distintas concentraciones sobre la eficacia analg\u00e9sica, tiempo de parto, bloqueo motor, reci\u00e9n nacido y efectos secundarios, respecto a un grupo control sin epidural.  material y metodo  se estudian 506 prim\u00edparas distribu\u00eddas en tres grupos. A las pacientes del grupo a (n=213) se les adminsitr\u00f3 una perfusi\u00f3nde bupivaca\u00edna al 0,125% m\u00e1s adrenalina 1\/800.000 m\u00e1s fentanilo 2,5 ug\/ml y a las pacientes del grupo b(n=193) otra perusi\u00f3n de bupivaca\u00edna al 0,0625% m\u00e1s adrenalina 1\/1.600.666 m\u00e1s fentanilo 2,5 ug\/ml; ambas perfusiones fueron a un ritmo de 12 ml\/hora. en los grupos a y b se instaur\u00f3 la epidural con una dilataci\u00f3n cervical de 3 cm o en las primeras contracciones dolorosas; a las gestantes del grupo control c (n=100) se les administr\u00f3 analgesi sist\u00e9mica (meperidina m\u00e1s diazepam). Se recogieronlas siguientes variables: eficacia analg\u00e9sica (escala anal\u00f3gica visual), apagar al minuto y a los cinco minutos dosis total de f\u00e1rmacos y reinyecciones, tiempo de perfusi\u00f3n, pujos, instrumentaci\u00f3n del parto, bloqueo motor y efectos secundarios.  resultados  la perfusi\u00f3n del grupo a result\u00f3 m\u00e1s efectiva que la del grupo b en el control del dolor con menor n\u00famero de reinyecciones durante la dilataci\u00f3n, el grupo c present\u00f3 niveles de dolor significativamente superiores a los grupos a y b (p-0,05). El tiempode perfusi\u00f3n fue significativamente inferior (p-0,05) en el grupo a (163,1 + 51,3 min) frente a los grupos b (211,6 +60,7 min) y c (298,5 +75,2 min). En el grupo a las dosis medias totales fueron de 67,8 + 15 mg para la bupivaca\u00edna y 131,5 + 25,6 ug para el fentanilo, en el grupo b estas dosis fueron de 55+9,6 mg y 155,7+ 30,3 ug, respectivamente, la diferencia de las dosis totales medias entre grupos fue estad\u00edsticamente signigicativa. El bloqueo motor de los miembros inferiores no sobrepas\u00f3, enlos grupos a y b, el valor 1 de la<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Aportaciones al estudio de la analgesia epidural en obstetricia.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Aportaciones al estudio de la analgesia epidural en obstetricia. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Margarita Bilbao Liseca <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/01\/2000<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Pedro Quesada Marin<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: clemente Muriel villoria <\/li>\n<li>Francisco Grau real (vocal)<\/li>\n<li>Antonio Pelicen Martinez (vocal)<\/li>\n<li>Manuel Granell gil (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Margarita Bilbao Liseca Objetivos comparar los efectos de dos perfusiones epidurales de bupivaca\u00edna a distintas concentraciones sobre [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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