剖宫产椎管内麻醉术后寒战的影响因素及防治  

Influencing factors and prevention of shivering after spinal anesthesia in cesarean section

作　　者：王正义 赵帝 WANG Zhengyi;ZHAO Di(Department of Anesthesiology,The Fourth Affiliated Hospital of Zhejiang University School of Medicine,Yiwu 322000,China)

机构地区：[1]浙江大学医学院附属第四医院麻醉科,浙江义乌322000

出　　处：《麻醉安全与质控》2024年第6期351-355,共5页Perioperative Safety and Quality Assurance

摘　　要：术后寒战是椎管内麻醉剖宫产的常见并发症,给产妇造成严重的生理与心理负担,影响其术后恢复治疗。导致其发生的可能原因有麻醉方式、环境温度、紧张情绪及手术因素等。现有研究表明,使用主动加温系统、输注预热液体及利用营养素产热效应等措施能够有效预防术后寒战的发生。药物治疗则是防范椎管内麻醉剖宫产术后寒战的主要方法,已在临床实践中被证实具有相当疗效。本文就剖宫产椎管内麻醉术后寒战的影响因素、预防及治疗措施进行文献综述,旨在为临床实践提供参考。Postoperative shivering is a common complication of spinal anesthesia during cesarean section,causing significant physiological and psychological burden to parturients and affecting their postoperative recovery.Possible factors of postoperative shivering may include the type of anesthesia,ambient temperature,emotional stress,and surgical styles.Current research indicates that proactive measures such as the use of active warming systems,infusion of pre-warmed fluids,and harnessing the thermogenic effect of nutrients can effectively mitigate postoperative shivering.Pharmacological interventions stand as the primary approach to prevent shivering after spinal anesthesia for cesarean section,demonstrating substantial efficacy in clinical practice.This article reviews the influencing factors,preventive strategies for postoperative shivering after spinal anesthesia in cesarean section,aiming to provide guidance for clinical practice.

关 键 词：剖宫产 椎管内麻醉 寒战 影响因素 防范措施 

分 类 号：R714.3[医药卫生—妇产科学]