首页|不同剂量右美托咪定预防剖宫产术患者脊椎-硬膜外麻醉后寒战的效果

不同剂量右美托咪定预防剖宫产术患者脊椎-硬膜外麻醉后寒战的效果

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目的 探究不同剂量右美托咪定预防剖宫产术患者脊椎-硬膜外麻醉后寒战的效果,总结临床经验.方法 针对40例脊椎-硬膜外麻醉剖宫产术患者采用大剂量右美托咪定进行干预,并归为对照组,针对另外40例患者使用小剂量右美托咪定进行干预,并归为观察组,此后观察2组患者的寒战等情况并比较,入选患者均为温州市人民医院2016年2月~2017年1月间收治.结果 比较2组寒战患者的详细情况发现,2组在总体例数方面无明显差异,观察组共计9例患者出现寒战,对照组则有10例出现寒战,同时2组寒战等级无明显差异;观察组患者中有2例(5.0%)出现不良反应,对照组则有9(22.5%)例出现不良反应,2组比较P<0.05则说明差异具有统计学意义.结论 不同剂量右美托咪定预防剖宫产术患者脊椎-硬膜外麻醉后寒战的效果分析发现,其能够对患者寒战的干预起到效果,同时可减少患者手术后不良反应发生率,因此值得临床借鉴.
Effect of different doses of dexmedetomidine on chills after epidural anesthesia in cesarean section
Objective To explore the different doses of dexmedetomidine for prevention of shivering in cesarean section effect in patients with spinal and epidural anesthesia, summarize the clinical experience.MethodsIn 40 cases of spinal epidural anesthesia in cesarean section with large doses of dexmedetomidine for intervention, and classified into control group, according to the in the other 40 patients using small doses of dexmedetomidine for intervention, and classified as the observation group, then observe two groups of patients with chills were compared, the patients were in our hospital from February 2016 to January 2017 were found.ResultsWith comparison of two groups of patients with chills, two group in the overall number of cases no significant difference.The observation group, a total of 9 cases of patients with chills, the control group had 10 cases of chills, while no significant difference between the two groups of shivering grade;the patients in the observation group of 2 cases (5%) had adverse reaction, the control group had 9 (22.5%) cases of adverse reactions,P<0.05 between the two groups showed significant differences.ConclusionDifferent doses of dexmedetomidine on preventing shivering effect analysis of cesarean section in patients with spinal and epidural anesthesia after the discovery, which can play the effect of the intervention in patients with chills, and can reduce the incidence of adverse reactions in patients after surgery, it is worthy of reference.

different dosesdexmedetomidinecesarean sectionspinal epidural anesthesiachills

李和、缪项慧、吴艳琴

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温州市人民医院 麻醉科,浙江 温州 325000

不同剂量 右美托咪定 剖宫产术 脊椎-硬膜外麻醉 寒战

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(6)
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