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作 者:林晓妹 冯祖莲 黎瑶瑶 陈汶 Lin Xiaomei(Yangjiang People's Hospital,Yangjiang Guangdong 529500)
出 处:《黑龙江医药》2022年第3期613-615,共3页Heilongjiang Medicine journal
摘 要:目的:探讨小剂量舒芬太尼在剖宫产术麻醉中预防寒战和牵拉痛的临床效果。方法:将2019年1月—2021年2月在我院接受剖宫产的120例产妇作为研究对象,将其随机分为对照组和观察组,每组各60例,分别采用常规麻醉和常规麻醉+小剂量舒芬太尼,比较两组临床效果。结果:观察组的寒战程度明显比对照组具有优势(P<0.05);观察组的牵拉疼痛情况明显优于对照组(P<0.05);观察组的手术时间、术中出血量明显比对照具有优势(P<0.05);观察组患者麻醉后的血流动力学明显比对照组患者更加稳定(P<0.05)。结论:在剖宫产术麻醉中应用小剂量舒芬太尼,可有效预防寒战的发生,减轻牵拉疼痛,同时可缩短手术时间,减少术中出血量,具有较高安全性,同时产妇的血流动力学更加稳定,具有较高应用价值。Objective:To investigate the clinical effect of low-dose sufentanil in preventing chills and tenderness during cesarean section anesthesia.Methods:120 women who underwent cesarean section in our hospital from January 2019 to February 2021 were taken as study subjects and randomly divided into control group and observation group,with 60 cases in each group,using conventional anesthesia and low dose sufentanil to compare the clinical effects of the two groups.Results:The shivering degree of the observation group was significantly superior than the control group(P<0.05);the pulling pain was significantly better than the control group(P<0.05);the operation time and intraoperative bleeding of the observation group were significantly better than the control group(P<0.05);Patients in the observation group were significantly more stable after anesthesia than patients in the control group(P<0.05).Conclusion:The application of low dose sufentanl in cesarean section anesthesia can effectively prevent chills,reduce pulling pain,shorten operation time and reduce intraoperative bleeding,with high safety and high application value.
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