鞘内注射小剂量舒芬太尼预防剖宫产寒战反应的临床观察被引量：2

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摘要目的观察鞘内注射小剂量舒芬太尼预防产妇剖宫产寒战反应的临床效用。方法 240例剖宫产产妇随机分为3组,每组80例。A组:鞘内注入0.5%罗哌卡因12mg复合舒芬太尼3μg;B组:鞘内注入0.5%罗哌卡因12mg复合舒芬太尼5μg;C组:鞘内注入0.5%罗哌卡因12mg。观察麻醉后寒战发生情况,麻醉效果,低血压、恶心、呕吐、皮肤瘙痒等不良反应的发生情况以及新生儿Apgar评分。结果 A组、B组寒战发生率分别为6.2%和5.0%,明显低于C组28.8%,差异有统计学意义(P<0.05);A、B两组麻醉为优者分别为76例(95.0%)和78例(97.5%),麻醉为优高于C组[62例(77.5%)],差异有统计学意义(P<0.05);B组有31例(38.8%)出现皮肤瘙痒,明显高于A组的4例(5.0%)及C组的0例(P<0.05)。结论罗哌卡因复合舒芬太尼3μg鞘内给药能有效防治产妇剖宫产麻醉寒战反应,而且皮肤瘙痒发生率低,对新生儿无影响,值得临床推广。

作者张素晶卢国林周敏

机构地区福建省妇幼保健院麻醉科

出处《福建医药杂志》 CAS 2017年第2期87-89,共3页 Fujian Medical Journal

关键词鞘内注射小剂量舒芬太尼寒战剖宫产术

分类号 R614 [医药卫生—麻醉学]

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