摘要
目的观察右美托咪定与布托啡诺治疗剖宫产蛛网膜下腔阻滞后寒战反应患者的临床效果。方法选取美国麻醉学会(ASA)Ⅰ~Ⅱ级发生寒战反应的剖宫产患者60例,随机分为对照组和试验组,胎儿娩出后,两组分别静脉注射布托啡诺0.01 mg/kg和右美托咪定1μg/kg。观察两组用药后疗效以及恶心呕吐和镇静程度。结果与对照组比较,试验组疗效更佳(P<0.05)。两组恶心呕吐发生率比较,差异无统计学意义(P>0.05)。与对照组相比,试验组处于浅睡眠状态(可唤醒),舒适度更好。结论右美托咪定治疗剖宫产蛛网膜下腔阻滞后寒战反应患者效果更佳,患者相对更舒适。
ObjectiveTo observe the clinical efficacy of butorphanol and dexmedetomidine on shivering in cesarean section after subarachnoid block. MethodsSixty parturient women with shivering after subarachnoid block were randomly divided into two groups (n=30). After the fetus was token out, patients in the control group and experimental group were treated with butorphanol (0.01 mg/kg; iv) and dexmedetomidine (1 μg/kg; iv). The therapeutic effects, adverse effects and ramsay were observed. ResultsCompared with the control group, the therapeutic effect of the experimental group was better (P〈0.05). There was no significant difference between the two groups in nausea and vomiting. The patients were more comfortable in experimentalgroup. ConclusionEfficacy of dexmedetomidine on shivering in caesarean section after subarachnoid block was better.
作者
代小京
Dai xiaojing(The Affiliated Wuxi People's Hospital of Nanjing Medical University,Wuxi Jiangsu 214000,China)
出处
《医疗装备》
2018年第17期119-120,共2页
Medical Equipment