中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
10期
117-118
,共2页
寒战%盐酸奈福泮%利多卡因%疗效观察与评价
寒戰%鹽痠奈福泮%利多卡因%療效觀察與評價
한전%염산내복반%리다잡인%료효관찰여평개
Shivering%Nefopam Hydrochloride%Lidocainum%Clinical Observation or Assessment
目的：临床使用盐酸奈福泮联合小剂量利多卡因治疗椎管内麻醉寒战，并对其疗效做相关评价。方法回顾分析2012年6月—2014年6月99例来我院行椎管内麻醉后出现寒战情况的患者临床资料，按照用药不同分成观察1组与观察2组、对照组，每组各33例。观察1组使用盐酸奈福泮联合利多卡因，观察2组仅单独使用盐酸奈福泮，对照组使用氟芬合剂，观察并记录3组治疗效果及出现的相关不良反应，同时进行组间比较。结果观察1组总体治疗有效率为96.97%，观察2组总体治疗有效率为93.94%，对照组总体治疗有效率为78.79%，明显看出观察组总体情况由于对照组，<0.01；但观察1组与观察2组间比较，差异无统计学意义，>0.05；各组间不良反应发生率差异较大，<0.01。结论对椎管内麻醉后出现寒战的患者采用盐酸奈福泮联合小剂量利多卡因进行治疗可有效改善寒战发生情况，临床具有较高使用价值。
目的：臨床使用鹽痠奈福泮聯閤小劑量利多卡因治療椎管內痳醉寒戰，併對其療效做相關評價。方法迴顧分析2012年6月—2014年6月99例來我院行椎管內痳醉後齣現寒戰情況的患者臨床資料，按照用藥不同分成觀察1組與觀察2組、對照組，每組各33例。觀察1組使用鹽痠奈福泮聯閤利多卡因，觀察2組僅單獨使用鹽痠奈福泮，對照組使用氟芬閤劑，觀察併記錄3組治療效果及齣現的相關不良反應，同時進行組間比較。結果觀察1組總體治療有效率為96.97%，觀察2組總體治療有效率為93.94%，對照組總體治療有效率為78.79%，明顯看齣觀察組總體情況由于對照組，<0.01；但觀察1組與觀察2組間比較，差異無統計學意義，>0.05；各組間不良反應髮生率差異較大，<0.01。結論對椎管內痳醉後齣現寒戰的患者採用鹽痠奈福泮聯閤小劑量利多卡因進行治療可有效改善寒戰髮生情況，臨床具有較高使用價值。
목적：림상사용염산내복반연합소제량리다잡인치료추관내마취한전，병대기료효주상관평개。방법회고분석2012년6월—2014년6월99례래아원행추관내마취후출현한전정황적환자림상자료，안조용약불동분성관찰1조여관찰2조、대조조，매조각33례。관찰1조사용염산내복반연합리다잡인，관찰2조부단독사용염산내복반，대조조사용불분합제，관찰병기록3조치료효과급출현적상관불량반응，동시진행조간비교。결과관찰1조총체치료유효솔위96.97%，관찰2조총체치료유효솔위93.94%，대조조총체치료유효솔위78.79%，명현간출관찰조총체정황유우대조조，<0.01；단관찰1조여관찰2조간비교，차이무통계학의의，>0.05；각조간불량반응발생솔차이교대，<0.01。결론대추관내마취후출현한전적환자채용염산내복반연합소제량리다잡인진행치료가유효개선한전발생정황，림상구유교고사용개치。
Objective To assess the curative effect of Nefopam Hydrochloride combined with small dose of Lidocainum for shivering after intraspinal anesthesia. Method 99 patients with shivering after intraspinal anesthesia were reviewed and divided into observation group one, observation group two and control group according to difference medications, 33 cases each group. Group one took Nefopam Hydrochloride combined with Lidocainum;group two took Nefopam Hydrochloride; control group took Innovor. The treatment effects and adverse reactions of three groups were observed and compared. Result The total effective rate of group one, group two and control group were 96.97%, 93.94%and 78.79%while the rate of observation group was significantly higher than that of control group ( <0.01); the rate of group one and group two was not significantly different ( >0.05); the incidence rate of adverse reaction of three groups was significantly different ( <0.01). Conclusion For patients with shivering after intraspinal anesthesia, Nefopam Hydrochloride combined with small dose of Lidocainum can effectively improve the incidences of shivering. It has a higher value of clinical application.
