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右美复合纳布啡对剖宫产术后镇痛及血清CRP、NO影响

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目的:探究右美托咪定复合纳布啡对剖宫产患者镇痛及血清C反应蛋白(CRP)、一氧化氮(NO)影响。方法:随机数字表法将2022年3月~2023年12月我院收治的102例剖宫产产妇均分,对照组行纳布啡+阿扎司琼,观察组行右美托咪定+纳布啡+阿扎司琼,比较两组镇痛效果、血清学指标、抑郁评分和不良反应。结果:观察组术后静息痛和运动痛评分下降更快;CRP水平更低,NO水平更高;EPDS评分更低;不良反应发生率 5。88%更低,且与对照组相比均具有统计学意义(P<0。05)。结论:右美托咪定复合纳布啡可缓解剖宫产术后产妇疼痛,改善血清CRP和NO水平。
Effect of dextromethorphan combined with nalbuphine on analgesia and serum CRP and NO after cesarean delivery
Objective:To investigate the effect of dexmedetomidine combined with nalbuphine on analgesia and serum C-reactive protein(CRP)and nitric oxide(NO)in cesarean delivery patients.Methods:Randomized numerical table method was used to divide 102 cases of cesarean delivery admitted to our hospital from March 2022 to December 2023 into two groups:control group with nalbuphine+azasetron and observation group with dexmedetomidine+nalbuphine+azasetron,and compare the analgesic effects,serological indexes,depression scores,and adverse reactions in the two groups.Results:Postoperative resting pain and motor pain scores decreased faster in the observation group;CRP levels were lower and NO levels were higher;EPDS scores were lower;and the incidence rate of adverse reactions,5.88%,was lower,and all of them were statistically significant when compared with those of the control group(P<0.05).Conclusion:Dexmedetomidine combined with nalbuphine relieves maternal pain and improves serum CRP and NO levels after cesarean delivery.

DexmedetomidineNalbuphineCaesarean sectionAnalgesic effectC-reactive proteinNitric oxide

程美红、周荣生、孙丽丽、祖曙芳

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合肥市第三人民医院麻醉科,安徽省合肥市 230031

右美托咪定 纳布啡 剖宫产 镇痛效果 C反应蛋白 一氧化氮

2020年应用医学研究项目

Hwk2020zd0014

2024

现代科学仪器
中国分析测试协会

现代科学仪器

CSTPCD
影响因子:0.329
ISSN:1003-8892
年,卷(期):2024.41(4)