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氢吗啡酮联合咪达唑仑在剖宫产术麻醉中预防寒战和牵拉痛的临床效果及可行性分析 被引量:1

Clinical Effect And Feasibility Analysis of Hydromorphone Combined with Midazolam in Prevention of Shivering and Traction Pains During Cesarean Section Anesthesia
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摘要 目的分析氢吗啡酮联合咪达唑仑在剖宫产术麻醉中预防寒战和牵拉痛的临床效果及可行性。方法选取2019年11月-2020年11月广东省罗定市妇幼保健院收治剖宫产术患者70例为研究对象。采用随机信封分组法将70例患者分为两个独立小组。使用氢吗啡酮进行术中麻醉的患者作为参比组,使用氢吗啡酮联合咪达唑仑进行术中麻醉的患者作为试验组。对比两组经过麻醉后的相关指标、寒战发生情况、牵拉痛发生率。结果在对剖宫产术患者进行术中麻醉后,试验组患者的相关指标较参比组优(P<0.05);试验组患者的寒战发生情况较参比组少(P<0.05);试验组患者的牵拉痛发生率较参比组低(P<0.05)。结论在对剖宫产术患者进行术中麻醉时,使用氢吗啡酮联合咪达唑仑进行麻醉能够优化患者相关指标,减少术后寒战发生情况,降低术后牵拉痛发生率,建议对剖宫产术患者麻醉时使用。 Objective To analyze clinical effect and feasibility of hydromorphone combined with midazolam in prevention of shivering and traction pain during cesarean section anesthesia.Methods The paper chose 70 patients with cesarean section in our hospital from November 2019 to November 2020 as research objects,and divided them into two independent groups by random envelope grouping method.Reference group under intraoperative anesthesia was treated with hydromorphone,experimental group with hydromorphone combined with midazolam.Relevant indexes,incidence of shivering and incidence of traction pain after anesthesia was compared between two groups.Results After intraoperative anesthesia for cesarean section patients,relevant indexes in experimental group were better than reference group(P<0.05),incidence of shivering in experimental group was less than reference group(P<0.05);incidence of traction pain in experimental group is lower than reference group(P<0.05).Conclusion During anesthesia for patients with cesarean section,hydromorphone combined with midazolam can optimize relevant indexes of patients,reduce incidence of postoperative shivering and incidence of postoperative traction pain,which is recommended in anesthesia for cesarean section patients.
作者 李科霖 LI Ke-lin(Anesthesiology Department,Luoding City Maternal and Child Health Hospital,Luoding Guangdong,527200)
出处 《智慧健康》 2021年第33期165-167,共3页 Smart Healthcare
关键词 氢吗啡酮 咪达唑仑 剖宫产术 寒战 牵拉痛 预防 Hydromorphone Midazolam Cesarean section Shivering Traction pains Prevention
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