医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2013年
23期
89-90
,共2页
剖宫产术%腰硬联合麻醉%布比卡因%芬太尼
剖宮產術%腰硬聯閤痳醉%佈比卡因%芬太尼
부궁산술%요경연합마취%포비잡인%분태니
Cesarean section%Combined spinal-epidural Anesthesia%Bupivacaine%Fentanyl
目的观察应用小剂量芬太尼联合布比卡因用于腰硬联合麻醉在剖宫产术中预防寒战与牵拉痛的临床效果。方法将我院2011年1月到2012年2月间收录的100例在腰硬联合麻醉下行剖宫产术的患者随机分为观察组和对照组。观察组蛛网膜下腔阻滞麻醉用药为0.75%布比卡因1.2 m l+芬太尼20μg(0.4ml)+脑脊液稀释至2.5 ml，对照组蛛网膜下腔阻滞麻醉用药为0.75%的布比卡因1.2mL+脑脊液稀释至2.5ml。分别观察两组患者寒战与牵拉痛的发生情况，以及平均动脉压和心率的变化情况。结果观察组和对照组患者在术前、注药后以及术毕时间点的平均动脉压和心率比较无明显的差异（P＞0.05），统计学无意义。观察组寒战发生率、牵拉痛的疼痛率均明显低于对照组的情况（P＜0.05），统计学有意义。结论临床中应用小剂量芬太尼联合布比卡因用于腰硬联合麻醉能够预防剖宫产术中寒战的出现，并有效降低牵拉痛的发生。
目的觀察應用小劑量芬太尼聯閤佈比卡因用于腰硬聯閤痳醉在剖宮產術中預防寒戰與牽拉痛的臨床效果。方法將我院2011年1月到2012年2月間收錄的100例在腰硬聯閤痳醉下行剖宮產術的患者隨機分為觀察組和對照組。觀察組蛛網膜下腔阻滯痳醉用藥為0.75%佈比卡因1.2 m l+芬太尼20μg(0.4ml)+腦脊液稀釋至2.5 ml，對照組蛛網膜下腔阻滯痳醉用藥為0.75%的佈比卡因1.2mL+腦脊液稀釋至2.5ml。分彆觀察兩組患者寒戰與牽拉痛的髮生情況，以及平均動脈壓和心率的變化情況。結果觀察組和對照組患者在術前、註藥後以及術畢時間點的平均動脈壓和心率比較無明顯的差異（P＞0.05），統計學無意義。觀察組寒戰髮生率、牽拉痛的疼痛率均明顯低于對照組的情況（P＜0.05），統計學有意義。結論臨床中應用小劑量芬太尼聯閤佈比卡因用于腰硬聯閤痳醉能夠預防剖宮產術中寒戰的齣現，併有效降低牽拉痛的髮生。
목적관찰응용소제량분태니연합포비잡인용우요경연합마취재부궁산술중예방한전여견랍통적림상효과。방법장아원2011년1월도2012년2월간수록적100례재요경연합마취하행부궁산술적환자수궤분위관찰조화대조조。관찰조주망막하강조체마취용약위0.75%포비잡인1.2 m l+분태니20μg(0.4ml)+뇌척액희석지2.5 ml，대조조주망막하강조체마취용약위0.75%적포비잡인1.2mL+뇌척액희석지2.5ml。분별관찰량조환자한전여견랍통적발생정황，이급평균동맥압화심솔적변화정황。결과관찰조화대조조환자재술전、주약후이급술필시간점적평균동맥압화심솔비교무명현적차이（P＞0.05），통계학무의의。관찰조한전발생솔、견랍통적동통솔균명현저우대조조적정황（P＜0.05），통계학유의의。결론림상중응용소제량분태니연합포비잡인용우요경연합마취능구예방부궁산술중한전적출현，병유효강저견랍통적발생。
Objective: To observe the application of smal dose of fentanyl combined with bupivacaine for combined spinal-epidural anesthesia clinical effect in prevention of shivering during cesarean section and traction pain. Methods: In our hospital from 2011 January to 2012 February included 100 cases in combined spinal-epidural anesthesia for cesarean section were randomly divided into observation group and control group. The observation group subarachnoid block anesthesia of 0.75% bupivacaine 1.2 ml+ fentanyl 20 μ g (0.4ml) + cerebrospinal fluid diluted to 2.5 ml, the control group subarachnoid block anesthesia of 0.75% bupivacaine 1.2mL+ cerebrospinal fluid dilution to 2.5ml. The two groups were observed in patients with chil s and pul the occurrence of pain, as wel as changes in mean arterial pressure and heart rate. Results: The observation group and the control group were no significant differences in preoperative, after injection and postoperative time points in the mean arterial pressure and heart rate (P > 0.05), no statistical significance. The observation group the incidence of shivering, dragging pain pain were significantly lower than the control group (P < 0.05) cases, statistical y significant. Conclusion: For combined spinal-epidural anesthesia can prevent shivering during cesarean section with smal dose of fentanyl combined with bupivacaine in clinic, and effectively reduce the distraction.
