首页|术中静脉输注右美托咪定对剖宫产后产妇抑郁评分的影响

术中静脉输注右美托咪定对剖宫产后产妇抑郁评分的影响

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目的 探讨术中静脉输注右美托咪定对剖宫产后产妇抑郁评分的影响.方法 选择80例择期剖宫产术初产妇为研究对象,采用随机数字表法分为研究组和对照组,每组40例.研究组给予静脉泵注盐酸右美托咪定,对照组给予静脉泵注0.9%氯化钠注射液,比较两组产妇的相关指标.结果 术后第5天,研究组抑郁评分低于对照组,抑郁评分≥9分的产妇人数少于对照组(P>0.05);在T4时间点,研究组舒张压(DBP)、心率(HR)水平均低于对照组(P<0.05);在T5时间点,研究组收缩压(SBP)、DBP、HR水平均低于对照组(P<0.05);两组不良反应发生率比较差异无统计学意义(P>0.05);研究组镇静评分高于对照组(P<0.05).结论 腰-硬联合麻醉下行子宫下段剖宫产术的初产妇术中静脉输注右美托咪定效果较好,可改善产妇抑郁状态,稳定产妇术中血流动力学指标,减少术中不良反应的发生,值得临床推广与应用.
Effect of intraoperative intravenous infusion of dexmedetomidine on maternal depression score after cesarean section
Objective To investigate the effect of intraoperative intravenous dexmedetomidine infusion on maternal depression score after cesarean section.Methods A total of 80 cases of primary parturients undergoing elective cesarean section were selected as research subjects and divided into study group and control group by random number table method,with 40 cases in each group.The study group was injected with dexmedetomidine hydrochloride by intravenous pump,and the control group was injected with 0.9%sodium chloride injection by intravenous pump.Results On the 5th day after operation,the depression score of the study group was lower than that of the control group,and the number of women with depression score ≥9 was lower than that of the control group(P>0.05).At T4,the levels of diastolic blood pressure(DBP)and heart rate(HR)in study group were lower than those in control group(P<0.05).At T5 time point,systolic blood pressure(SBP),DBP and HR levels in the study group were lower than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).The sedation score of the study group was higher than that of the control group(P<0.05).Conclusion Intravenous infusion of dexmedetomidine in the lower section of uterine cesarean section under combined lumbar and epidural anesthesia has a good effect,which can improve maternal depression,stabilize hemodynamic indexes during obstetrics and gynecology,and reduce the occurrence of intraoperative adverse reactions.It is worthy of clinical promotion and application.

DexmedetomidinePostpartum depression scoreHemodynamicsPostpartum depressionCombined lumbo-epidural anesthesia

孙逸瑶、陈佩军、陈亚男、李维敏

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盐城市亭湖区人民医院 麻醉科,江苏 盐城 224000

右美托咪定 产后抑郁评分 血流动力学 产后抑郁 腰-硬联合麻醉

盐城市医学科技发展计划(2020)

YK2020116

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(10)
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