曲马多联合地塞米松对剖宫产腰硬联合麻醉产妇寒战反应的效果及不良反应分析  

Analysis of the effect and adverse reactions of tramadol combined with dexamethasone on chills of parturienti parturienti combined with epidural anesthesia during cesarean section

作　　者：谢柏勇 Xie Baiyong(Department of Anesthesiology,People's Hospital of Lixian County,Changde 415500,China)

机构地区：[1]澧县人民医院麻醉科,湖南常德415500

出　　处：《实用妇科内分泌电子杂志》2023年第13期74-76,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的研究曲马多联合地塞米松对剖宫产腰硬联合麻醉产妇寒战反应的效果及不良反应的影响。方法选取100例剖宫产腰硬联合麻醉寒战产妇,根据随机数字表法分为对照组与试验组,每组50例。对照组采用咪达唑仑联合芬太尼治疗,试验组采用曲马多联合地塞米松治疗。比较两组产妇生活质量、治疗效果及不良反应发生情况。结果与对照组相比,试验组产妇生活质量评分增高,差异具有统计学意义(P<0.05)。试验组产妇总寒战率为20.00%,明显低于对照组的60.00%,差异具有统计学意义(P<0.05)。与对照组相比,试验组产妇不良反应发生率降低,差异具有统计学意义(P<0.05)。结论曲马多联合地塞米松可提高治疗剖宫产腰硬联合麻醉产妇寒战反应的效果。Objective To study the effects of tramadol combined with dexamethasone on chills and side effects of cesarean section and epidural anesthesia.Methods 100 cases were selected and divided into control group and experimental group with 50 cases in each group according to random number table method.The control group was treated with midazolam combined with fentanyl,and the experimental group was treated with tramadol combined with dexamethasone.The quality of life,therapeutic effect and adverse reactions were compared between the two groups.Results Compared with control group,the quality of life score of experimental group was increased,and the difference was statistically significant(P<0.05).The total chills rate of experimental group was 20.00%,which was significantly lower than that of control group 60.00%,and the diference was statistically significant(P<0.05).Compared with control group,the incidence of adverse reactions in experimental group was decreased,and the difference was statistically significant(P<0.05).Conclusion Tramadol combined with dexamethasone can improve the therapeutic effect of chills in patients with cesarean section and epidural anesthesia.

关 键 词：曲马多 剖宫产 寒战 地塞米松 不良反应 

分 类 号：R614[医药卫生—麻醉学]