摘要
目的:探索盐酸右美托咪定在预防剖宫产行椎管内麻醉后寒战反应的效果。方法:选择剖宫产分娩的产妇92例为研究对象,两组产妇均给予椎管内麻醉,随机将产妇分成对照组和观察组。对照组产妇在胎儿剖出后静脉注射生理盐水,观察组产妇在胎儿剖出后静脉注射盐酸右美托咪定,对比两组产妇的寒战发生率、镇静Ramsay评分等指标值。结果:观察组产妇的寒战发生率比对照组低(6.52%vs 23.91%),且观察组产妇不良反应发生率低于对照组(6.52%vs 21.74%),差异有统计学意义(P<0.05);观察组产妇在静脉滴注盐酸右美托咪定后Ramsay镇静评分上升幅度明显高于对照组,差异有统计学意义(P<0.05)。结论:对剖宫产产妇剖出胎儿后静脉滴注盐酸右美托咪定有助于防治椎管内麻醉期寒战的发生,且安全性高,值得在临床上推广应用。
Objective To explore the effect of dexmedetomidine hydrochloride in preventing chills after spinal anesthesia in laparotomy.Method A total of92women were enrolled,and the patients were divided into control group and observation group.In the control group,the mothers were injected with normal saline after the fetal examination.The observation group was injected intravenously with dexmedetomidine hydrochloride after the fetal examination.The incidence of chills and the Ramsay score were compared between the two groups.Results The incidence of chills in the observation group was lower than that of the control group(6.52%vs23.91%),and the incidence of maternal adverse reactions in the observation group was lower than that of the control group(6.52%vs21.74%),the difference was statistically significant(P<0.05).The rate of Ramsay sedation was significantly higher than that of the control group(P<0.05).Conclusion The intravenous infusion of dexmedetomidine hydrochloride in cesarean section can help prevent the occurrence of chills during spinal anesthesia,and it is safe and worthy of clinical application.
作者
戈平
GE Ping(Department of Anesthesiology,Maternal and Child Health Hospital of Dongguan Municipality,Dongguan 523125,China)
出处
《吉林医学》
CAS
2018年第2期281-283,共3页
Jilin Medical Journal
关键词
盐酸右美托咪定
剖宫产
椎管内麻醉
寒战
RAM
Dexmedetomidine hydrochloride
Caesarean section
Spinal anesthesia
Chills
Ramsay score
