摘要
目的探讨舒芬太尼对于剖宫产手术麻醉中的寒战(SV)、牵拉痛(DP)的临床预防作用。方法60例接受剖宫产的患者,根据选号法将其分为实验组和对照组,每组30例。实验组患者采用1 ml 0.75%布比卡因(Bupivacaine)、5μg舒芬太尼(Sufentanil)以及0.5 ml的10%葡萄糖麻醉;对照组患者采用1 ml的0.75%布比卡因以及0.5 ml的10%葡萄糖麻醉。比较两组患者的SV、DP发生情况以及踝关节恢复时间。结果实验组患者的SV、DP发生情况均明显优于对照组,差异均具有统计学意义(P<0.05)。两组患者踝关节恢复时间比较,差异无统计学意义(P>0.05)。结论剖宫产麻醉中加用低剂量的舒芬太尼可以很好地减少寒战、牵拉痛的发生,且对术后恢复无明显影响。
Objective To discuss the preventive effect of low-dose sufentanil on shivering(SV)and dragging pain(DP)during cesarean section anesthesia.Methods A total of 60 pregnant women undergoing cesarean section were randomly divided into experimental group and control group,with 30 cases in each group.The experimental group was anesthetized with 1 ml 0.75%bupivacaine,5μg sufentanil and 0.5 ml 10%glucose,and the control group was anesthetized with 1 ml 0.75% bupivacaine and 0.5 ml 10% glucose.The occurrence of SV and DP and ankle recovery time were compared between the two groups.Results The incidence of SV and DP in the experiment group was obviously better than those in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in ankle recovery time between the two groups(P>0.05).Conclusion Low-dose sufentanil during cesarean section anesthesia can better reduce the occurrence of shivering and dragging pain,and has no obvious effect on postoperative recovery.
作者
李福仙
LI Fu-xian(Department of Anesthesia,Dalian University Affiliated Zhongshan Hospital,Dalian 116001,China)
出处
《中国现代药物应用》
2020年第4期93-95,共3页
Chinese Journal of Modern Drug Application
关键词
舒芬太尼
剖宫产术麻醉
寒战
牵拉痛
预防
Sufentanil
Cesarean section anesthesia
Shivering
Dragging pain
Prevention
