中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
13期
1959-1960
,共2页
剖宫产术%寒战%右美托咪定%曲马朵
剖宮產術%寒戰%右美託咪定%麯馬朵
부궁산술%한전%우미탁미정%곡마타
Cesarean section%Shivering%Dexmedetomidine%Tramadol
目的 探讨右美托咪定对腰硬联合麻醉后剖宫产产妇寒战反应的临床疗效及不良反应.方法 选择腰硬联合麻醉后行剖宫产术的产妇94例,均在术中出现寒战反应.将其按照随机数字表法分为两组,观察组于胎儿娩出后缓慢静脉注射右美托咪定0.3 μg/kg,对照组于胎儿娩出后缓慢静脉注射盐酸曲马朵1 mg/kg,观察两组产妇寒战反应变化情况,记录用药前、后的Ramsay镇静评分,及两组产妇不良反应发生情况.结果 用药后,观察组寒战治疗的有效率为93.6％,对照组为95.8％,两组差异无统计学意义(P＞0.05);观察组T1、T2时的Ramsay镇静评分为(3.21 ±0.73)分、(3.28 ±0.65)分,均显著高于对照组的(1.84±0.71)分、(1.92±0.63)分(t=5.43、9.81,均P＜0.05);观察组用药后不良反应发生率为6.4％,明显低于对照组的57.4％(x2=19.20,P＜0.05).结论 右美托咪定对腰硬联合麻醉后行剖宫产术中出现寒战产妇有良好的治疗效果,能起到良好的镇静效果.
目的 探討右美託咪定對腰硬聯閤痳醉後剖宮產產婦寒戰反應的臨床療效及不良反應.方法 選擇腰硬聯閤痳醉後行剖宮產術的產婦94例,均在術中齣現寒戰反應.將其按照隨機數字錶法分為兩組,觀察組于胎兒娩齣後緩慢靜脈註射右美託咪定0.3 μg/kg,對照組于胎兒娩齣後緩慢靜脈註射鹽痠麯馬朵1 mg/kg,觀察兩組產婦寒戰反應變化情況,記錄用藥前、後的Ramsay鎮靜評分,及兩組產婦不良反應髮生情況.結果 用藥後,觀察組寒戰治療的有效率為93.6％,對照組為95.8％,兩組差異無統計學意義(P＞0.05);觀察組T1、T2時的Ramsay鎮靜評分為(3.21 ±0.73)分、(3.28 ±0.65)分,均顯著高于對照組的(1.84±0.71)分、(1.92±0.63)分(t=5.43、9.81,均P＜0.05);觀察組用藥後不良反應髮生率為6.4％,明顯低于對照組的57.4％(x2=19.20,P＜0.05).結論 右美託咪定對腰硬聯閤痳醉後行剖宮產術中齣現寒戰產婦有良好的治療效果,能起到良好的鎮靜效果.
목적 탐토우미탁미정대요경연합마취후부궁산산부한전반응적림상료효급불량반응.방법 선택요경연합마취후행부궁산술적산부94례,균재술중출현한전반응.장기안조수궤수자표법분위량조,관찰조우태인면출후완만정맥주사우미탁미정0.3 μg/kg,대조조우태인면출후완만정맥주사염산곡마타1 mg/kg,관찰량조산부한전반응변화정황,기록용약전、후적Ramsay진정평분,급량조산부불량반응발생정황.결과 용약후,관찰조한전치료적유효솔위93.6％,대조조위95.8％,량조차이무통계학의의(P＞0.05);관찰조T1、T2시적Ramsay진정평분위(3.21 ±0.73)분、(3.28 ±0.65)분,균현저고우대조조적(1.84±0.71)분、(1.92±0.63)분(t=5.43、9.81,균P＜0.05);관찰조용약후불량반응발생솔위6.4％,명현저우대조조적57.4％(x2=19.20,P＜0.05).결론 우미탁미정대요경연합마취후행부궁산술중출현한전산부유량호적치료효과,능기도량호적진정효과.
Objective To explore the therapeutic effects of dexmedetomidine for cesarean shivering after spinal-epidural anesthesia and observe the maternal adverse reaction.Methods 94 patients with cesarean shivering after spinal-epidural anesthesia in our hospital were divided into the two groups according to random number table.The study group(47 cases) was given 0.3μ g/kg of dexmedetomidine by intravenous injection after the baby delivered,while the control group (47 cases) was given 1mg/kg of tramal after the baby delivered.The maternal shivering changes were observed,the Ramsay sedation scores before (T0),5min after treatment (T1),10min after treatment (T2) were recorded,and the maternal adverse reaction was compared between the two groups.Results After the treatment,the shivering effective rate of the study group was 93.6％,and which of the control group was 95.8％,the two groups showed no significant difference (P ＞ 0.05) ; Ramsay sedation score of T1,T2 in the study group was (3.21 ± 0.73) and (3.28 ± 0.65),which were significantly higher than T0 (1.53 ± 0.51),and significantly higher than (1.84 ± 0.71) and (1.92 ± 0.63) in the control group (t =5..43,9.81,all P ＜ 0.05).The incidence rate of adverse reaction of the study group was 6.4％,which was significantly lower than 57.4％ of the control group(x2 =19.20,P ＜ 0.05).Conclusion The therapeutic effects of dexmedetomidine for cesarean shivering after spinal-epidural anesthesia is good and it has good sedative effect,and it is safe,which is worth to be promoted in clinical.
