剖宫产术中应用右美托咪定对椎管内麻醉期间寒颤、牵拉反应的预防效果观察  

Observation on the preventive effect of dexmedetomidine during cesarean section on chills and traction during spinal anesthesia

作　　者：邓双钊 温雪花 黎裕星 梁秀萍 彭为平 黄伟华 DENG Shuang-zhao;WEN Xue-hua;LI Yu-xing;LIANG Xiu-ping;PENG Wei-ping;HUANG Wei-hua(Dept.of Anesthesiology,People's Hospital of Nanhai District,Foshan 528200,China)

机构地区：[1]佛山市南海区人民医院麻醉科,广东佛山528200

出　　处：《泰山医学院学报》2021年第4期284-286,共3页Journal of Taishan Medical College

基　　金：2019年度佛山市卫生和计划生育局医学科研项目(项目编号:20190229)。

摘　　要：目的在剖宫产术中椎管内麻醉期间应用右美托咪定,分析其对预防寒颤、牵拉反应的效果。方法选取2018年8月—2020年7月,在佛山市南海区人民医院剖宫产分娩的87例产妇,均进行椎管内麻醉,将其分为两组。对照组43例,在胎儿剖出后应用生理盐水;观察组44例,在胎儿剖出后应用右美托咪定。对比两组产妇的寒颤预防效果、牵拉反应预防效果及不良反应情况。结果观察组产妇的寒颤发生率为11.36%,对照组产妇为30.23%,差异有统计学意义(P<0.05);观察组产妇牵拉反应预防优良率为90.91%,对照组为74.42%,差异有统计学意义(P<0.05);观察组产妇不良反应率为6.82%,对照组为9.30%,差异无统计学意义(P>0.05)。结论在剖宫产术中椎管内麻醉期间应用右美托咪定可减少寒颤发生,预防牵拉反应,且安全性良好。Objective:To apply dexmedetomidine during intraspinal anesthesia for cesarean section to analyze its effect on preventing chills and traction reactions.Methods:From August 2018 to July 2020,87 parturients who gave birth by cesarean section in our hospital were all under spinal anesthesia,and they were divided into two groups.In the control group,43 cases were treated with saline after the fetus was dissected;in the observation group,44 cases were treated with dexmedetomidine after the fetus was dissected.The prevention effect of chills,the prevention effect of traction reaction and the side effects of the two groups were compared.Results:The incidence of chills in the observation group was 11.36%,and that of the control group was 30.23%,which was a significant difference(P<0.05);the observation group had an excellent rate of 90.91%in prevention of traction response and 74.42%in the control group,which was a significant difference(P<0.05);the maternal adverse reaction rate of the observation group was 6.82%,and that of the control group was 9.30%,there was no significant difference(P>0.05).Conclusion:The application of dexmedetomidine during intraspinal anesthesia for cesarean section can reduce the occurrence of chills,prevent traction reactions,and is safe.

关 键 词：椎管内麻醉 右美托咪定 剖宫产 

分 类 号：R719[医药卫生—妇产科学]