右美托咪定联合腰硬麻醉对剖宫产术后母婴的影响  

Effect of Dexmedetomidine Combined with Lumbar- Epidural Anesthesia on Puerperas and Neonates

作　　者：林小美[1] 叶青[1] 苏志源[1] 梁春明[1] 

机构地区：[1]广州医科大学附属第三医院,广东广州510150

出　　处：《现代医院》2016年第5期663-664,668,共3页Modern Hospitals

基　　金：广东省医学科研基金(编号:A2015219)

摘　　要：目的探讨右美托咪定联合腰硬麻醉下行剖宫产术,术后对母婴的影响。方法选择40例孕妇,随机分为两组,每组20例。研究组实施右美托咪定联合腰硬麻醉,对照组单独实施腰硬麻醉。观察两组麻醉术产妇的镇痛程度、满意度,以及胎儿娩出后的阿氏评分及新生儿神经行为评分。结果研究组产妇的镇痛程度、舒适度及满意度明显高于对照组(均P<0.05),两组胎儿娩出后阿氏评分和新生儿神经行为评分比较差异无统计学意义(P>0.05)。结论右美托咪定联合腰硬麻醉下行剖宫产术对产妇有良好的镇痛作用,可提高产妇的舒适度及满意度,对新生儿无明显不良影响。Objective To investigate the effect of Dexmedetomidine combined with lumbar - epidural analgesia （CSEA） on the puerperas and neonates after Caesarean section（CS）. Methods 40 pregnant women were randomly divided into control group （n =20） and study group（n = 20）. Both of the groups underwent CS under CESA while the study group were treated additionally with Dexmedetomidine. The sedation level, satisfaction degree, APGAR score and neonatal behav- iors were assessed in the postoperative stage for both groups. Results The sedation level and comfort and satisfaction degree in the study group were significantly higher than the control group （ P 〈 0. 05 ） , but there were no statistical differences in AP- GAR score and neonatal behaviors between the two groups. Conclusion Addition with Dexmedetomidine for CSEA could im- prove the sedative effect and satisfaction degree from the puerperas and no side effect is found to the newborns.

关 键 词：右美托咪定 剖宫产 镇痛 舒适度 

分 类 号：R719.8[医药卫生—妇产科学] R614.1[医药卫生—临床医学]