中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2010年
13期
49-51
,共3页
哌替啶%氟哌利多%腰麻%剖宫产%寒战
哌替啶%氟哌利多%腰痳%剖宮產%寒戰
고체정%불고리다%요마%부궁산%한전
Pethedine%Droperidor%Spinal ansthesia%Parturient%Shiver
目的 探讨哌替啶-氟哌利多防治腰麻下行剖宫产术寒战及胃牵拉痛的临床效果.方法 选择腰麻行剖宫产术患者ASAI～Ⅱ 160例,随机平均分成四组,每组40例,胎儿取出后即刻,A组静脉注射哌替啶25 mg和氟哌利多1.25 mg,B组静脉注射哌替啶50 mg和氟哌利多2.5 mg,C组静脉注射哌替啶10 mg和氟哌利多0.5 mg,D组静脉注射0.9%氯化钠2 ml.观察注药时(T0)、注药后5 min(T1)、10 min(T2)、20 min(T3)时平均动脉压(MBP)、血氧饱和度(SpO2)、心率(HR)、呼吸(RR),患者术中术后出现寒战的例数,停止寒战的时间,注药后患者RSS评分,患者术中清理腹腔时胃牵拉痛的VAS评分.结果 A组MBP、SpO2、HR、RR比A、C、D组平稳(P﹤0.05);注药后5min C组5例,D组33例有寒战,明显多于A、B组(P﹤0.01);术中RSS评分,评2～3分,A组例数明显多于其他组(P﹤0.01);A组患者胃牵拉痛的VAS评分明显低于C、D组(P﹤0.01).结论 哌替啶25 mg和氟哌利多1.25 mg合剂是有效防治腰麻下剖宫产术寒战及清理腹腔时胃牵拉痛的最优剂量.
目的 探討哌替啶-氟哌利多防治腰痳下行剖宮產術寒戰及胃牽拉痛的臨床效果.方法 選擇腰痳行剖宮產術患者ASAI～Ⅱ 160例,隨機平均分成四組,每組40例,胎兒取齣後即刻,A組靜脈註射哌替啶25 mg和氟哌利多1.25 mg,B組靜脈註射哌替啶50 mg和氟哌利多2.5 mg,C組靜脈註射哌替啶10 mg和氟哌利多0.5 mg,D組靜脈註射0.9%氯化鈉2 ml.觀察註藥時(T0)、註藥後5 min(T1)、10 min(T2)、20 min(T3)時平均動脈壓(MBP)、血氧飽和度(SpO2)、心率(HR)、呼吸(RR),患者術中術後齣現寒戰的例數,停止寒戰的時間,註藥後患者RSS評分,患者術中清理腹腔時胃牽拉痛的VAS評分.結果 A組MBP、SpO2、HR、RR比A、C、D組平穩(P﹤0.05);註藥後5min C組5例,D組33例有寒戰,明顯多于A、B組(P﹤0.01);術中RSS評分,評2～3分,A組例數明顯多于其他組(P﹤0.01);A組患者胃牽拉痛的VAS評分明顯低于C、D組(P﹤0.01).結論 哌替啶25 mg和氟哌利多1.25 mg閤劑是有效防治腰痳下剖宮產術寒戰及清理腹腔時胃牽拉痛的最優劑量.
목적 탐토고체정-불고리다방치요마하행부궁산술한전급위견랍통적림상효과.방법 선택요마행부궁산술환자ASAI～Ⅱ 160례,수궤평균분성사조,매조40례,태인취출후즉각,A조정맥주사고체정25 mg화불고리다1.25 mg,B조정맥주사고체정50 mg화불고리다2.5 mg,C조정맥주사고체정10 mg화불고리다0.5 mg,D조정맥주사0.9%록화납2 ml.관찰주약시(T0)、주약후5 min(T1)、10 min(T2)、20 min(T3)시평균동맥압(MBP)、혈양포화도(SpO2)、심솔(HR)、호흡(RR),환자술중술후출현한전적례수,정지한전적시간,주약후환자RSS평분,환자술중청리복강시위견랍통적VAS평분.결과 A조MBP、SpO2、HR、RR비A、C、D조평은(P﹤0.05);주약후5min C조5례,D조33례유한전,명현다우A、B조(P﹤0.01);술중RSS평분,평2～3분,A조례수명현다우기타조(P﹤0.01);A조환자위견랍통적VAS평분명현저우C、D조(P﹤0.01).결론 고체정25 mg화불고리다1.25 mg합제시유효방치요마하부궁산술한전급청리복강시위견랍통적최우제량.
Objective To investigate the clinical effectiveness of pethidine and droperidor on chills and analgesia stomach- involving undergoing parturient with spinal epidural ansthesia. Methods 160 cases of parturient women with shivering(all under combined-spinal epidural anesthesia,ASAI～Ⅱ) were divided randomly into four groups.childbirth immediate: group A ( 40 cases) treated with 25 mg pethedine and 1.25 mg droperidor; group B (40 cases) treated with 50 mg pethedine and 2.5 mg droperidor ;group C (40 cases) treated with 10 mg pethedine and 0.5 mg droperidor;group D treated with 2 ml 0.9% sodium chloride. Observe four groups patients inject drug (T0)、after 5 min inject drug (T1)、10 min(T2)、20 min(T3) MBP、SpO2、HR、RR,the cases with shivering undergoing parturient, the time of shivering arrest,the RSS scores of the patient after inject drug, the VAS scores of the patient analgesia stomach- involving. Results The MBP、SpO2、HR、RR have 22 and 12 cases of on shivering after treatment at 5 min that is more best dose (25 mg pethedine and 1.25 mg droperidor) of the effect of treatment on chills and analgesia stomach- involving undergoing parturient with spinal epidural ansthesia.
