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《右美托咪定聯(lián)合布托啡諾防治剖宮產(chǎn)腰硬聯(lián)合麻醉后寒戰(zhàn)的臨床觀察》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在工程資料-天天文庫。
1、右美托咪定聯(lián)合布托啡諾防治剖宮產(chǎn)腰硬聯(lián)合麻醉后寒戰(zhàn)的臨床觀察(徐州醫(yī)學(xué)院附屬醫(yī)院麻醉科江蘇徐州221002)【摘要】目的：探討右美托咪定聯(lián)合布托啡諾防治剖宮產(chǎn)腰硬聯(lián)合麻醉后寒戰(zhàn)的臨床療效。方法：選取ASA分級(jí)T級(jí)行腰硬聯(lián)合麻醉剖宮產(chǎn)的患者60例，隨機(jī)均分為3組，右美托咪定聯(lián)合布托啡諾組(DB組)，右美托咪定組(D組)，布托啡諾組(B組)；在胎兒娩出后靜脈用藥，DB組給予右美托咪定0.5ug/kg及布托啡諾0.02mg/kg,D組給予右美托咪定0.5ug/kg,B組布托啡諾0.02mg/kg,比較三組用藥后寒戰(zhàn)發(fā)生率、寒戰(zhàn)評(píng)分和不良反應(yīng)情況。結(jié)果：DB組寒戰(zhàn)
2、發(fā)生率低于D組及B組，寒戰(zhàn)評(píng)分低于D組及B組，差異具有統(tǒng)計(jì)學(xué)意義(P<0.05)；心動(dòng)過緩低血壓的發(fā)生情況三組間差異無統(tǒng)計(jì)學(xué)意義(P>0.05),DB組惡心嘔吐的發(fā)生率較B組低，差異具有統(tǒng)計(jì)學(xué)意義(P<0.05)o結(jié)論：右美托咪定聯(lián)合布托啡諾可降低剖宮產(chǎn)腰硬聯(lián)合麻醉寒戰(zhàn)的發(fā)生率，減輕寒戰(zhàn)評(píng)分?！娟P(guān)鍵詞】右美托咪啶；布托啡諾；剖宮產(chǎn)；腰硬聯(lián)合麻醉【屮圖分類號(hào)】R453【文獻(xiàn)標(biāo)識(shí)碼】A【文章編號(hào)】2095-1752(2015)35-0037-02Rightdexmedetomidinejointbutorphanolclinicalobser
3、vationcesareanepiduralanesthesiashiveringpreventionYueDongmei,LiuSuPeiYuPingJiDuiYixuzhoumedicalcollegeaffiliatedhospitalanesthesiology,xuzhou,jiangsuprovince,221002【Abstract】ObjectiveTostudytheeffectofRightdexmedetomidinejointbutorphanolontreatinglumbarepiduralanesthesiaaftercesa
4、reanchills.MethodsFrommyhospitalpatientschoosecesareanepiduralanesthesia60cases,ASAclassificationgradeI,wererandomlydividedintothreegroupsgivendexmedetomidinejointbutorphanolgroup(DBGroup),givendexmedetomidine(groupD),butorphanolgroup(groupB);Afterthebabyisdeliveredintravenousdrug
5、use,DBgroupwasgivendexmedetomidinegiven0.5ug/kgbutorphanoland0.02mg/kg,Dgroupweretreatedwithdexmedetomidinegiven0.5ug/kg,groupB0.02mgbutorphanol/kg,threegroupsaftertreatmentincidenceofshivering,chillsscoreandadversereactions.ResultsDBGroupchillsincidenceislowerthaningroupDandgroup
6、B,chillsscorelowerthangroupDandgroupB,allthedifferencewasstatisticallysignificant(P<0.05);theincidenceofhypotensionbradycardiaamongthethreegroupswasnotstatisticallysignificantdifference(P>0.05),DBgroup,theincidenceofnauseaandvomitingislowerthangroupB,allthedifferencewasstati
7、sticallysignificant(P<0.05).ConclusionRightdexmedetomidinejointbutorphanolcanreducecesareanepiduralanesthesiashiveringincidence,reduceshiveringscore..【Keywords]Rightdexmedetomidine;Butorphanol;Cesareansection;CSEA麻醉后寒戰(zhàn)反應(yīng)，主要是由于機(jī)體溫度過低，骨骼肌收縮產(chǎn)熱幫助抵御寒冷，或者給予麻醉藥物注入后導(dǎo)致機(jī)體產(chǎn)生保護(hù)性應(yīng)激反應(yīng)所致；蘇在剖宮產(chǎn)手術(shù)
8、腰硬聯(lián)合麻醉中發(fā)生率較高，可高達(dá)52%;寒戰(zhàn)發(fā)生后患者由于精神緊張
