摘要
目的:探讨右美托咪定应用于剖宫产术后硬膜外镇痛的疗效。方法:收治剖宫产患者60例。采用硬膜外镇痛,对照组使用罗哌卡因,右美托咪定组联合右美托咪定。结果:12 h、24 h、48 h时间点对照组VAS评分显著高于右美托咪定组(P<0.05);术后6 h、12 h和24 h时间点Rasmay镇静评分方面,对照组显著高于右美托咪定组(P<0.05);对照组恶心、呕吐以及皮肤瘙痒发生率显著高于右美托咪定组(P<0.05)。结论:右美托咪定应用于剖宫产术后硬膜外镇痛,显著增强了术后镇痛效果,并能减轻产妇术后不良反应。
Objective：To investigate the effect of dexmedetomidine on epidural analgesia after cesarean section.Methods：60 cases of cesarean section were treated with epidural analgesia.The control group were treated with ropivacaine,and the dexmedetomidine group given ropivacaine combined with dexmedetomidine.Results：The VAS score at 12 h,24 h,48 h in the control group were significantly higher than thses in the dexmedetomidine group（P〈0.05）;Rasmay sedation score at 6 h,12 h and24 h time point after surgery were significantly higher than the control group（P〈0.05）;The incidence of vomiting and pruritus in the control group were significantly higher than that of the dexmedetomidine group（P〈0.05）.Conclusion：Dexmedetomidine used in epidural analgesia after cesarean section can significantly improve the postoperative analgesic effect,and can reduce the adverse reactions after the occurrence of maternal adverse reactions.
出处
《中国社区医师》
2017年第33期77-77,79,共2页
Chinese Community Doctors
关键词
右美托咪定
硬膜外镇痛
剖宫产术后
Dexmedetomidine
Epidural analgesia
After cesarean section
