CAJ | 학술논문

目的：研究异丙酚对剖宫产术硬膜外麻醉后寒战的疗效。方法将剖宫产术硬膜外麻醉后出现寒战的产妇随机分为A、B、C三组。三组产妇采取相同硬膜外麻醉及体温护理措施。A组产妇给予异丙酚治疗，B组产妇给予右美托咪定治疗，C组产妇给予等量生理盐水。比较围术期三组产妇生理指标及抗寒战效果。结果三组产妇围术期各时刻平均动脉压、心率及血氧饱和度比较无显著差异（P＞0.05），寒战不同分级分布亦无显著差异（P＞0.05）；A组产妇抗寒战治疗有效率高于B组（P＜0.05），且寒战持续时间明显短于B组（P＜0.01）。结论对于剖宫产术硬膜外麻醉后寒战，异丙酚具有与右美托咪定相近的安全性，但其抗寒战效果及起效时间优于右美托咪定。
목적：연구이병분대부궁산술경막외마취후한전적료효。방법장부궁산술경막외마취후출현한전적산부수궤분위A、B、C삼조。삼조산부채취상동경막외마취급체온호리조시。A조산부급여이병분치료，B조산부급여우미탁미정치료，C조산부급여등량생리염수。비교위술기삼조산부생리지표급항한전효과。결과삼조산부위술기각시각평균동맥압、심솔급혈양포화도비교무현저차이（P＞0.05），한전불동분급분포역무현저차이（P＞0.05）；A조산부항한전치료유효솔고우B조（P＜0.05），차한전지속시간명현단우B조（P＜0.01）。결론대우부궁산술경막외마취후한전，이병분구유여우미탁미정상근적안전성，단기항한전효과급기효시간우우우미탁미정。
ObjectiveTo explore the clinical effect of propofol in the treatment of shivering after epidural anesthesia during caesarean section.MethodThe parturients who were shivering after epidural anesthesia during caesarean section were randomly divided into A, B, C group. All parturients were taken the same epidural anesthesia and temperature nursing care. Parturients in group A were taken propofol, parturients in group B were taken dexmedetomidine, parturients in group C were taken same volume of saline, the physiologic index during caesarean section and the clinical effect for the shivering were compared among the three groups.ResultThere were no signiifcant differences at the MAP, HR and SpO2 among the three groups (P>0.05), and it didn't showed signiifcant difference at shivering in different grade distribution among the three groups (P>0.05). The total effective rate in group A was higher than group B (P>0.05), and shiver lasting time in group A was obiviously shorter than group B (P<0.01).ConclusionPropofol is safe for parturients with shivering after epidural anesthesia during caesarean section as same as dexmedetomidine, and propofol has better clinical effect and shorter onset time than dexmedetomidine.