小剂量舒芬太尼在剖宫产术麻醉中预防寒战及牵拉痛疗效评价.docVIP

小剂量舒芬太尼在剖宫产术麻醉中预防寒战及牵拉痛疗效评价 　　摘 要：目的 小?┝渴娣姨?尼在剖宫产术麻醉时用于预防寒战及牵拉痛两方面具体的疗效。方法 选取2016年10月～2017年10月在佳木斯市妇幼保健计划生育指导中心行剖宫产术的120例产妇为研究对象，使用随机数字表法将120例研究对象分为麻醉组和对照组各60例，对照组使用常规麻醉药物罗哌卡因葡萄糖注射液，麻醉组在对照组基础上施加小剂量舒芬太尼，比较两组患者寒战和牵拉痛的发生情况以及手术时间、术后恢复时间和住院时间。结果 麻醉组寒战发生率6.67%和牵拉痛发生率8.33%低于对照组31.67%和35.00%，两组差异有统计学意义（P0.05）；麻醉组产妇术后恢复时间（20.31±1.57）min和住院时间（5.14±1.60）d短于对照组的（28.94±2.58）min和（7.51±1.45）d，两组差异有统计学意义（P0.05）。结论 小剂量舒芬太尼用于剖宫产术麻醉中预防寒战及牵拉痛的作用突出，可有效降低产妇在剖宫产术中寒战和牵拉痛的发生率，同时缩短患者术后恢复时间和住院时间，有利于产妇的术后恢复，值得推广。 　　关键词：剖宫产；麻醉；小剂量舒芬太尼；寒战；牵拉痛 　　中图分类号：R614；R719.8 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.08.032 　　文章编号：1006-1959（2018）08-0101-02 　　Evaluation of the Efficacy of Low-dose Sufentanil in Preventing Chills and Pulling Pain during Cesarean Section Anesthesia 　　RAN Hui-ren 　　（Department of Anesthesiology，Jiamusi Maternal and Child Health Care Family Planning Guidance Center，Jiamusi 154002，Heilongjiang，China） 　　Abstract：Objective To evaluate the efficacy of low dose sufentanil in preventing shivering and pulling pain during cesarean section. Methods From October 2016 to October 2017，120 cases of parturient undergoing cesarean section in Jiamusi Maternal and Child Health and Family Planning guidance Center were selected as study objects，and 120 cases were divided into anesthetic group and control group by random digital table method，60 patients in each group.The control group used the conventional narcotic drug ropivacaine glucose injection，and the anesthesia group applied the small dose of sufentanil on the basis of the control group，and compared the occurrence of shivering and traction pain in the two groups，the operation time，the recovery time after the operation and the time of hospitalization.Results The incidence of chills in the anesthesia group was 6.67% and the pain rate was 8.33%，which was lower than that in the control group 31.67% and 35.00%，there was a significant difference between the two groups（P 　　Key words：Cesarean section；Anaesthesia；Small dose of sufentanil；Chil