硬膜外腔应用右美托咪定对硬膜外相关产时发热的影响  

Effects of epidural administration of dexmedetomidine on epidural-related maternal fever

作　　者：侯增光 李岩 张青林[2] 白耀武 Hou Zengguang;Li Yan;Zhang Qinglin;Bai Yaowu(Department of Anesthesiology,Zhangjiakou Maternity and Child Health Care Hospital,Hebei 075000,China)

机构地区：[1]河北省张家口市妇幼保健院麻醉科,075000 [2]首都医科大学附属北京妇产医院麻醉科 [3]华北理工大学附属河北省唐山市妇幼保健院麻醉科

出　　处：《山西医药杂志》2022年第6期603-605,共3页Shanxi Medical Journal

基　　金：河北省张家口市2019年市级科技计划自筹经费项目(1921104D)。

摘　　要：目的探讨硬膜外腔应用右美托咪定对硬膜外相关产时发热(ERMF)的影响。方法选取年龄24~40岁的健康足月初产妇60例,要求硬膜外分娩镇痛,随机分为2组,A组产妇(30例)硬膜外腔推注预充量1%利多卡因7~10 ml,B组产妇(30例)硬膜外腔推注预充量1%利多卡因7~10 ml复合右美托咪定5μg,连接电子泵采取自控硬膜外镇痛法。记录产时发热、第一产程胎心异常、剖宫产率和产钳助产率。结果2组产时发热、第一产程胎心异常、产钳助产和转剖宫产率差异无统计学意义(P>0.05)。结论硬膜外腔应用右美托咪定不能有效地降低ERMF的发生。Objective To study the effects of epidural administration of dexmedetomidine on epidural-related maternal fever(ERMF).Methods Sixty healthy full-term primipara aged 24~40 years were randomly divided into two groups.Group A(30 cases)received epidural injection of 1%lidocaine 7~10 ml,and group B(30 cases)received epidural injection of 1%lidocaine 7~10 ml combined with dexmedetomidine 5μg.The epidural catheters connected electronic pump,and patient-controlled epidural analgesia method was adopted.Then the rate of ERMF,abnormal fetal heart rate during the first stage,cesarean section and instrument delivery were recorded.Results Compared with group A,the rate of ERMF,abnormal fetal heart rate in the first stage,cesarean section rate and instrument delivery in group B were not significantly decreased(P>0.05).Conclusion The epidural administration of dexmedetomidine could not effectively reduce the occurrence of ERMF.

关 键 词：发热 镇痛 产科 右美托咪定 

分 类 号：R714.3[医药卫生—妇产科学]