资源描述：
《右美托咪定联合布托啡诺防治剖宫产腰硬联合麻醉后寒战的临床观察》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、右美托咪定联合布托啡诺防治剖宫产腰硬联合麻醉后寒战的临床观察(徐州医学院附属医院麻醉科江苏徐州221002)【摘要】目的：探讨右美托咪定联合布托啡诺防治剖宫产腰硬联合麻醉后寒战的临床疗效。方法：选取ASA分级T级行腰硬联合麻醉剖宫产的患者60例，随机均分为3组，右美托咪定联合布托啡诺组(DB组)，右美托咪定组(D组)，布托啡诺组(B组)；在胎儿娩出后静脉用药，DB组给予右美托咪定0.5ug/kg及布托啡诺0.02mg/kg,D组给予右美托咪定0.5ug/kg,B组布托啡诺0.02mg/kg,比较三组用药后寒战发生率、寒战评分和不良反应情况。结果：DB组寒战
2、发生率低于D组及B组，寒战评分低于D组及B组，差异具有统计学意义(P<0.05)；心动过缓低血压的发生情况三组间差异无统计学意义(P>0.05),DB组恶心呕吐的发生率较B组低，差异具有统计学意义(P<0.05)o结论：右美托咪定联合布托啡诺可降低剖宫产腰硬联合麻醉寒战的发生率，减轻寒战评分。【关键词】右美托咪啶；布托啡诺；剖宫产；腰硬联合麻醉【屮图分类号】R453【文献标识码】A【文章编号】2095-1752(2015)35-0037-02Rightdexmedetomidinejointbutorphanolclinicalobser
3、vationcesareanepiduralanesthesiashiveringpreventionYueDongmei,LiuSuPeiYuPingJiDuiYixuzhoumedicalcollegeaffiliatedhospitalanesthesiology,xuzhou,jiangsuprovince,221002【Abstract】ObjectiveTostudytheeffectofRightdexmedetomidinejointbutorphanolontreatinglumbarepiduralanesthesiaaftercesa
4、reanchills.MethodsFrommyhospitalpatientschoosecesareanepiduralanesthesia60cases,ASAclassificationgradeI,wererandomlydividedintothreegroupsgivendexmedetomidinejointbutorphanolgroup(DBGroup),givendexmedetomidine(groupD),butorphanolgroup(groupB);Afterthebabyisdeliveredintravenousdrug
5、use,DBgroupwasgivendexmedetomidinegiven0.5ug/kgbutorphanoland0.02mg/kg,Dgroupweretreatedwithdexmedetomidinegiven0.5ug/kg,groupB0.02mgbutorphanol/kg,threegroupsaftertreatmentincidenceofshivering,chillsscoreandadversereactions.ResultsDBGroupchillsincidenceislowerthaningroupDandgroup
6、B,chillsscorelowerthangroupDandgroupB,allthedifferencewasstatisticallysignificant(P<0.05);theincidenceofhypotensionbradycardiaamongthethreegroupswasnotstatisticallysignificantdifference(P>0.05),DBgroup,theincidenceofnauseaandvomitingislowerthangroupB,allthedifferencewasstati
7、sticallysignificant(P<0.05).ConclusionRightdexmedetomidinejointbutorphanolcanreducecesareanepiduralanesthesiashiveringincidence,reduceshiveringscore..【Keywords]Rightdexmedetomidine;Butorphanol;Cesareansection;CSEA麻醉后寒战反应，主要是由于机体温度过低，骨骼肌收缩产热帮助抵御寒冷，或者给予麻醉药物注入后导致机体产生保护性应激反应所致；苏在剖宫产手术
8、腰硬联合麻醉中发生率较高，可高达52%;寒战发生后患者由于精神紧张
