医学综述
醫學綜述
의학종술
Medical Recapitulate
2015年
16期
2962-2965
,共4页
秦玫(综述)%薛兴(审校)
秦玫(綜述)%薛興(審校)
진매(종술)%설흥(심교)
剖宫产%麻醉%寒战%防治
剖宮產%痳醉%寒戰%防治
부궁산%마취%한전%방치
Cesarean section%Anesthesia%Shivering%Prevention and treatment
寒战是剖宫产术后常见的并发症之一。其发生可能与麻醉方式、术中用药、温度及孕妇自身因素等有关。寒战可以使机体的耗氧量成倍增加，导致低氧血症、心肌缺血的发生，严重者可使颅内压增高，甚至影响子宫收缩及使术后切口感染率增加。该文就目前剖宫产手术寒战的预防和治疗进展予以综述，探讨了预防和治疗寒战时所使用的心理安慰、物理保温及药物治疗等手段，并重点阐述了药物治疗中各类药物的优缺点。
寒戰是剖宮產術後常見的併髮癥之一。其髮生可能與痳醉方式、術中用藥、溫度及孕婦自身因素等有關。寒戰可以使機體的耗氧量成倍增加，導緻低氧血癥、心肌缺血的髮生，嚴重者可使顱內壓增高，甚至影響子宮收縮及使術後切口感染率增加。該文就目前剖宮產手術寒戰的預防和治療進展予以綜述，探討瞭預防和治療寒戰時所使用的心理安慰、物理保溫及藥物治療等手段，併重點闡述瞭藥物治療中各類藥物的優缺點。
한전시부궁산술후상견적병발증지일。기발생가능여마취방식、술중용약、온도급잉부자신인소등유관。한전가이사궤체적모양량성배증가，도치저양혈증、심기결혈적발생，엄중자가사로내압증고，심지영향자궁수축급사술후절구감염솔증가。해문취목전부궁산수술한전적예방화치료진전여이종술，탐토료예방화치료한전시소사용적심리안위、물리보온급약물치료등수단，병중점천술료약물치료중각류약물적우결점。
Shivering after cesarean section is one of the most serious postoperative complications causing hyoxemia,myocardial ischemia,increased intracranial pressure and even influences uterine contraction and increases postoperative infection.Shivering after cesarean section is generally reported to be related to anes-thesia approach,intraoperative medication,temperature and state of the pregnant women.Here makes a brief summary on the prevention and treatment of shivering after cesarean section,including dispelling tension of the pregnant,physical therapy and medication,and the advantages and disadvantages of each medicine are summarized in detail.
