中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
35期
75-78
,共4页
剖宫产%舒芬太尼%寒战%牵拉痛
剖宮產%舒芬太尼%寒戰%牽拉痛
부궁산%서분태니%한전%견랍통
Cesarean section%Sufentanil%Shivering%Traction pain
目的：探讨在剖宫产手术中使用小剂量舒芬太尼后对患者发生寒战及牵拉痛的预防作用。方法研究对象为2012年5～10月期间在我院进行剖宫产手术的产妇70例，将其按照使用的麻醉药物分为两组，观察组和对照组（n=35）。观察组麻醉用药为布比卡因、舒芬太尼、葡萄糖；对照组麻醉用药为布比卡因、葡萄糖。比较两组患者的临床效果。结果（1）观察组患者的术前、使用药物后1 min、3 min、5 min、10 min、术毕的MAP、HR和1 min、5 min、10 min的最大感觉阻滞平面、踝关节运动恢复时间、手术时间和1 min、5 min的Apgar评分及不良反应发生情况与对照组比较，差异无统计学意义（P＞0.05）；（2）观察组中牵拉痛中无痛发生率与对照组比较明显较高，差异有统计学意义（P＜0.05）；麻醉后寒战发生率与对照组比较明显较低，差异有统计学意义（P＜0.05）。结论在剖宫产手术中使用小剂量舒芬太尼对产妇麻醉后寒战的发生能够起到明显的预防作用，能够使患者牵拉痛的发生率显著降低。
目的：探討在剖宮產手術中使用小劑量舒芬太尼後對患者髮生寒戰及牽拉痛的預防作用。方法研究對象為2012年5～10月期間在我院進行剖宮產手術的產婦70例，將其按照使用的痳醉藥物分為兩組，觀察組和對照組（n=35）。觀察組痳醉用藥為佈比卡因、舒芬太尼、葡萄糖；對照組痳醉用藥為佈比卡因、葡萄糖。比較兩組患者的臨床效果。結果（1）觀察組患者的術前、使用藥物後1 min、3 min、5 min、10 min、術畢的MAP、HR和1 min、5 min、10 min的最大感覺阻滯平麵、踝關節運動恢複時間、手術時間和1 min、5 min的Apgar評分及不良反應髮生情況與對照組比較，差異無統計學意義（P＞0.05）；（2）觀察組中牽拉痛中無痛髮生率與對照組比較明顯較高，差異有統計學意義（P＜0.05）；痳醉後寒戰髮生率與對照組比較明顯較低，差異有統計學意義（P＜0.05）。結論在剖宮產手術中使用小劑量舒芬太尼對產婦痳醉後寒戰的髮生能夠起到明顯的預防作用，能夠使患者牽拉痛的髮生率顯著降低。
목적：탐토재부궁산수술중사용소제량서분태니후대환자발생한전급견랍통적예방작용。방법연구대상위2012년5～10월기간재아원진행부궁산수술적산부70례，장기안조사용적마취약물분위량조，관찰조화대조조（n=35）。관찰조마취용약위포비잡인、서분태니、포도당；대조조마취용약위포비잡인、포도당。비교량조환자적림상효과。결과（1）관찰조환자적술전、사용약물후1 min、3 min、5 min、10 min、술필적MAP、HR화1 min、5 min、10 min적최대감각조체평면、과관절운동회복시간、수술시간화1 min、5 min적Apgar평분급불량반응발생정황여대조조비교，차이무통계학의의（P＞0.05）；（2）관찰조중견랍통중무통발생솔여대조조비교명현교고，차이유통계학의의（P＜0.05）；마취후한전발생솔여대조조비교명현교저，차이유통계학의의（P＜0.05）。결론재부궁산수술중사용소제량서분태니대산부마취후한전적발생능구기도명현적예방작용，능구사환자견랍통적발생솔현저강저。
Objective To explore the preventive effect of pulling pain and shivering in cesarean section operation using small dose sufentanil on patients. Methods Seventy cases of maternal, they were collected from May to October 2012 in our hospital and were divided into two groups according to drug used in the operation, the observation group and the control group of 35 cases, respectively. The observation group used bupivacaine anesthesia, sufentanil, glucose; the control group used anesthetics for bupivacaine, glucose. The clinical efficacy of two groups were compared with statis-tical method. Results (1) There was no significant difference in mean arterial pressure and heart rate preoperative use of drugs, 1 min, 3 min, 5 min, 10 min, postoperative, the maximum level of sensory block on 1 min, 5 min, 10 min, ankle joint motion recovery time, operation time, Apgar score on 1 min, 5 min, adverse reactions occurrence between two groups (P>0.05);(2)Pulling pain painless rate in the observation group was obviously higher than that in the control group, there was significant difference between two groups (P<0.05); Shivering occurred rate in the observation group after anesthesia was significantly lower than that in the control group, there was significant difference between two groups (P<0.05). Conclusion The preventive effect in the cesarean section operation using small dose sufentanil for maternal anesthesia shivering is significant, can make the patients ’ pull pain incidence significantly lower.
