首页|小剂量舒芬太尼在剖宫产术麻醉中预防寒战和牵拉痛的临床观察

小剂量舒芬太尼在剖宫产术麻醉中预防寒战和牵拉痛的临床观察

扫码查看
目的 研究分析小剂量舒芬太尼在剖宫产术麻醉中预防寒战和牵拉痛的临床观察.方法 选取浙江省台州市肿瘤医院2015年1月~2016年12月进行剖宫产术的100例患者为研究对象,随机分为对照组和实验组2组,每组50例.对照组患者进行布比卡因麻醉,实验组患者进行布比卡因麻醉基础上给予舒芬太尼.比较分析实验组与对照组患者相关临床指标.结果 经过对应的麻醉方式后,实验组与对照组患者均未出现中度和重度牵拉痛,对照组患者中发生轻度牵拉痛的患者为29例,发生率为58.0%.实验组患者中发生轻度牵拉痛的患者为7例,发生率为14.0%.可得,实验组患者发生轻度牵拉痛概率显著低于对照组,差异具有统计学意义(P<0.05).实验组患者寒战发生率为16.0%显著低于对照组发生率52.0%,差异具有统计学意义(P<0.05).实验组患者发生不良反应概率12.0%显著低于对照组发生概率42.0%,差异具有统计学意义(P<0.05).结论 小剂量舒芬太尼在剖宫产术麻醉中的应用能够在很大程度上降低发生牵拉痛概率,预防寒战发生,安全性高,不良反应发生率较低,具有临床进一步推广和应用的意义.
Clinical observation of low dose sufentanil in preventing shivering and pulling pain during cesarean section anesthesia
Objective To investigate and analyze the clinical observation of low dose sufentanil in the prevention of shivering and traction during cesarean section. Methods 100 cases of cesarean section in our hospital from January 2015 to December 2016 were selected and randomly divided into two groups, the control group and the experimental group, with 50 patients in each group. The control group received bupivacaine anesthesia, and the experimental group received sufentanil anesthesia on the basis of sufentanil. The clinical indexes of the experimental group and the control group were compared and analyzed. Results After the corresponding anesthesia, there was no moderate or severe traction pain in the experimental group and the control group, and 29 cases of mild traction pain in the control group, with a rate of 58%. There were 7 patients with mild traction pain in the experimental group, with a rate of 14%. The probability of mild traction pain in the experimental group was significantly lower than that in the control group, with statistical difference (P<0.05). The incidence of shivering in the experimental group was 16%, significantly lower than that in the control group, with a rate of 52%, which was statistically significant (P<0.05). The adverse reaction rate of the experimental group was 12%, significantly lower than that of the control group, the probability of occurrence was 42%, which was statistically significant (P<0.05). Conclusion The application of small dose of sufentanil in anesthesia in cesarean section can reduce the occurrence probability of visceral pain in a large extent, prevention of shivering, high safety, low incidence rate of adverse reaction, with further clinical promotion and application significance.

small dose sufentanilcesarean section anesthesiaprevention of shiveringtraction pain

陈建树、瞿玉莲

展开 >

浙江省台州市肿瘤医院 麻醉科,浙江 台州 317502

小剂量舒芬太尼 剖宫产术麻醉 预防寒战 牵拉痛

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(8)
  • 6
  • 8