右美托咪定防治椎管内麻醉后寒战的研究进展  

Esearch progress of dexmedetomidine on preventing shivering during intraspinal anesthesia

作　　者：罗爽爽[1] 严爵基 陈灿[2] 

机构地区：[1]桂林医学院,桂林541004 [2]广西壮族自治区梧州市红十字会医院麻醉科,广西梧州543000

出　　处：《中国当代医药》2016年第2期21-23,共3页China Modern Medicine

摘　　要：体温恒定是保证机体稳定的重要因素,围麻醉期由于各种原因,患者常伴有不同程度的寒战发生。寒战是体温调节中枢为保持机体恒温,而快速收缩骨骼肌以增加产热的应激反应,椎管内麻醉后极为常见。右美托咪定是一种新型的高选择性α2肾上腺素能受体激动剂,具有镇静镇痛等作用,不仅能有效防治椎管内麻醉后的寒战,同时在一定程度上能优化麻醉效果。本文对右美托咪定在防治椎管内麻醉后寒战方面的研究进行综述。Thermostasis is a critical factor to ensure the normal physiological function of human body.Shivering is a common complication which can be induced by versatility reasons during anesthesia.Shivering is a stress reaction in which the temperature regulating center orders the skeletal muscles to contract fast to increase body temperature,especially under intraspinal anesthesia.As a new selective α2-adrenergic receptor agonist.Dexmedetomidine with the sedation and analgesia effect,has high effectiveness on preventing shivering and optimizing the quality of intraspinal anesthesia.This paper reviews to investigate the effect of dexmedetomidine on preventing shivering during intraspinal anesthesia.

关 键 词：椎管内麻醉 寒战 右美托咪定 镇痛 镇静 

分 类 号：R614.42[医药卫生—麻醉学]