蛛網(wǎng)膜下腔注射芬太尼對(duì)剖宮產(chǎn)產(chǎn)婦寒戰(zhàn)的影響
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【摘要】 目的 研究蛛網(wǎng)膜下腔注射芬太尼對(duì)剖宮產(chǎn)產(chǎn)婦寒戰(zhàn)的影響。方法 剖宮產(chǎn)產(chǎn)婦100例,隨機(jī)等分為Ⅰ組(實(shí)驗(yàn)組)和Ⅱ組(對(duì)照組)。選用蛛網(wǎng)膜下腔阻滯麻醉-硬膜外聯(lián)合麻醉,于L2~3椎間隙蛛網(wǎng)膜下腔注入蛛網(wǎng)膜下腔阻滯麻醉液2.4 ml,Ⅰ組蛛網(wǎng)膜下腔阻滯麻醉液含芬太尼20 μg。記錄阻滯平面、血壓(Bp)、心率(HR),觀察患者寒戰(zhàn)發(fā)生情況。結(jié)果 寒戰(zhàn)發(fā)生例數(shù)Ⅰ組12例,明顯低于Ⅱ組30例(P<0.01);輕度寒戰(zhàn)Ⅰ組8例,Ⅱ組19例;重度寒戰(zhàn)Ⅰ組4例,Ⅱ組11例。Ⅰ組明顯低于Ⅱ組(P<0.01);胎兒娩出前出現(xiàn)寒戰(zhàn)者Ⅰ組4例,明顯少于Ⅱ組13例(P<0.01)。結(jié)論 蛛網(wǎng)膜下腔注射芬太尼可降低剖宮產(chǎn)產(chǎn)婦胎兒娩出前寒戰(zhàn)發(fā)生率及總發(fā)生率。
【關(guān)鍵詞】 寒戰(zhàn);芬太尼;蛛網(wǎng)膜下腔阻滯;剖宮產(chǎn)
Effects of intrathecal fentanyl on shivering in parturients during in cesarean section.LIANG Wei.Department of Anesthsiology,Maternal and Children Health Care Hospital of Guangxi,Yulin 537000,China
【Abstract】 Objective To determine the effects of intrathecal fentanyl on shivering duringcesarean section for spinal anaesthesia.Methods Parturients undergoing cesarean section were randomly allocated into group Ⅰ and group Ⅱ.GroupⅠreceived levobupivacaine 7.5 mg with 20 μg of fentanyl and 10% glucose liquor to a total amount of 2 ......
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