中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
25期
131-133
,共3页
小剂量舒芬太尼%剖宫产术%寒战%牵拉痛
小劑量舒芬太尼%剖宮產術%寒戰%牽拉痛
소제량서분태니%부궁산술%한전%견랍통
Small dose sufentanil%Cesarean section%Chills%Dragging pain
目的：观察小剂量舒芬太尼在剖宫产术麻醉中预防寒战和牵拉痛的临床效用。方法选择2012年1月~2013年1月在我院行剖宫产术的产妇52例作为研究对象。随机分为两组：舒芬太尼组和常规麻醉组，每组26例。舒芬太尼组用药情况为：0.75%布比卡因1 mL、舒芬太尼5μg、10%葡萄糖0.5 mL；常规麻醉组用药为0.75%布比卡因1 mL、10%葡萄糖0.5 mL。观察两组产妇术前术后的心率、新生儿Apgar评分、寒战和牵拉痛情况。结果两组产妇术前、术后心率、新生儿Apgar评分比较无统计学意义；寒战和牵拉痛发生率比较有统计学意义。结论小剂量舒芬太尼在剖宫产术麻醉中可降低寒战和牵拉痛的发生率，并且是安全的。
目的：觀察小劑量舒芬太尼在剖宮產術痳醉中預防寒戰和牽拉痛的臨床效用。方法選擇2012年1月~2013年1月在我院行剖宮產術的產婦52例作為研究對象。隨機分為兩組：舒芬太尼組和常規痳醉組，每組26例。舒芬太尼組用藥情況為：0.75%佈比卡因1 mL、舒芬太尼5μg、10%葡萄糖0.5 mL；常規痳醉組用藥為0.75%佈比卡因1 mL、10%葡萄糖0.5 mL。觀察兩組產婦術前術後的心率、新生兒Apgar評分、寒戰和牽拉痛情況。結果兩組產婦術前、術後心率、新生兒Apgar評分比較無統計學意義；寒戰和牽拉痛髮生率比較有統計學意義。結論小劑量舒芬太尼在剖宮產術痳醉中可降低寒戰和牽拉痛的髮生率，併且是安全的。
목적：관찰소제량서분태니재부궁산술마취중예방한전화견랍통적림상효용。방법선택2012년1월~2013년1월재아원행부궁산술적산부52례작위연구대상。수궤분위량조：서분태니조화상규마취조，매조26례。서분태니조용약정황위：0.75%포비잡인1 mL、서분태니5μg、10%포도당0.5 mL；상규마취조용약위0.75%포비잡인1 mL、10%포도당0.5 mL。관찰량조산부술전술후적심솔、신생인Apgar평분、한전화견랍통정황。결과량조산부술전、술후심솔、신생인Apgar평분비교무통계학의의；한전화견랍통발생솔비교유통계학의의。결론소제량서분태니재부궁산술마취중가강저한전화견랍통적발생솔，병차시안전적。
Objective To observe effect of small dose sufentanil in anesthesia in caesarean section for prevention of shivering and dragging pain. Methods From January 2012 to January 2013, 52 women who underwent cesarean section were arranged in two groups, sufentanil group and general anesthesia group. Patients in sufentanil group used 0.75%bupivacaine, sufentanil 5 μg and 10% glucose. Patients in general anesthesia group used 0.75% bupivacaine and 10%glucose. Heart rate before and after operation, newborn's Apgar score, chills, dragging pain were compared. Results Comparative difference of heart rate before and after operation, newborn's Apgar score between the two groups showed no statistical significance. Comparative difference of chills and dragging pain situations indicated statistical signifi-cance. Conclusion Small dose sufentanil can reduce the incidence of chill and dragging pain in anesthesia in caesare-an section, and it is safe.
