亚麻醉剂量丙泊酚抑制剖宫产术中内脏牵拉痛的临床观察  

The clinical observation on sub-anesthetic dose of propofol’s inhibition on visceral referred pain in cesarean section

作　　者：李云龙 王华 

机构地区：[1]广东省东莞市大岭山医院麻醉科,523820

出　　处：《中国实用医药》2012年第29期38-39,共2页China Practical Medicine

摘　　要：目的观察亚麻醉剂量丙泊酚对剖宫产术中内脏牵拉痛的抑制作用。方法 120例腰硬联合麻醉下剖宫产产妇随机分成对照组(A组)和丙泊酚组(B组),胎儿取出后B组静脉注射丙泊酚5ml;A组静脉注射生理盐水5ml。比较两组术中牵拉痛抑制程度,恶心、呕吐,寒战及血压下降等副作用发生情况。结果两组年龄、体重、身高等比较差异均无显著性(P>0.05)。B组术中内脏牵拉痛抑制程度显著高于A组(P<0.01);B组恶心、呕吐、寒战发生率明显低于A组(P<0.05);两组平均动脉压变化比较差异无显著性(P>0.05)。结论亚麻醉剂量丙泊酚静脉注射对剖宫产术中内脏牵拉痛有显著的抑制作用。Objective To observe sub-anesthetic dose of propofol＇s inhibition on visceral referred pain in cesarean section. Methods 120 cases of parturients underwent caesarean section during combined spinal- epidural anesthesia were randomly divided into a control group （A） and propofol group （B）. After removal of the fetus, Group B was intravenous injected with propofol （5 ml）, and Group A was intravenous injected with sa- line（5 ml）. Compare two groups of patients in the degree of inhibition of referred pain, and the occurrence of nausea, vomiting, chilis and drop of blood pressure and other side effects. Results Significant differences in age,weight and height were not found between the two groups（P 〉 O. 05）. The degree of inhibition on visceral referred pain in Group B was significantly higher than that in Group A （P 〈0. 01 ）. The incidence of nausea, vomiting and chills in Group B was significantly lower than that in Group A （ P 〈 0.05 ）. Significant differences in change of the average arterial blood presure between two groups were not found （P 〉 0.05 ）. Conclusion Intravenous injection with sub-anesthetic doses of propofol significantly inhibits on visceral pain in cesarean sec- tion.

关 键 词：亚麻醉剂量 丙泊酚 剖宫产术 牵拉痛 

分 类 号：R614[医药卫生—麻醉学]