曲马多+地塞米松治疗剖宫产产妇硬膜外麻醉寒战反应的疗效评价.docx

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曲马多+地塞米松治疗剖宫产产妇硬膜外麻醉寒战反应的疗效评价

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摘要：目的：评价分析曲马多+地塞米松治疗剖宫产产妇硬膜外麻醉寒战反应临床疗效。方法：纳入2018年9月~2020年6月期间于本院行硬膜外麻醉后剖宫产术中发生寒战反应产妇共90例为研究对象，设置治疗研究。将产妇随机分组后，对照组45例，观察组45例。寒战反应后，予以对照组地塞米松治疗、观察组曲马多+地塞米松治疗。分析两组治疗效果及预后差异。结果：观察组术中寒战反应持续时间明显缩短，观察组用药5min时寒战反应消失率为95.56%，术后寒战复发率为6.67%，较对照组差异有统计学意义，P0.05；观察组新生儿分娩后阿氏评分高于对照组，P0.05；两组麻醉不良反应率对比无统计学差异，P0.05。结论：硬膜外麻醉下剖宫产中产妇寒战反应发生后予以其曲马多+地塞米松治疗可在短时间内迅速缓解寒战反应，减轻寒战对新生儿分娩影响，且安全性显著。

关键词：曲马多；地塞米松；剖宫产；硬膜外麻醉；寒战反应；临床效果

Abstract:Objective:Toevaluateandanalyzetheclinicalefficacyoftramadol+dexamethasoneinthetreatmentofepiduralanesthesiachillsincaesareandeliverywomen.Methods:Atotalof90womenwithchillsduringcesareansectionafterepiduralanesthesiainourhospitalfromSeptember2018toJune2020wereincludedasstudysubjects,andatreatmentstudywassetup.Afterthewomenwererandomlypidedintogroups,45caseswereinthecontrolgroupand45intheobservationgroup.Aftertheshiveringreaction,thecontrolgroupwastreatedwithdexamethasone,andtheobservationgroupwastreatedwithsuiteMaduo+dexamethasone.Thetherapeuticeffectandprognosisofthetwogroupswereanalyzed.Results:thedurationofintraoperativecoldresponseintheobservationgroupwassignificantlyshortened.Thedisappearancerateofcoldresponseintheobservationgroupwas95.56%after5minofmedication,andtherecurrenceratewas6.67%aftersurgery,whichwasstatisticallysignificantcomparedwiththecontrolgroup.0.05;Afterdelivery,Pltscoreofnewbornsinobservationgroupwashigherthanthatofcontrolgroup.0.05;Therewasnostatisticallysignificantdifferencebetweenthetwogroupsintherateofadversereactionstoanesthesia,P0.05.Conclusion:Tramadol+dexamethasonetherapycanquicklyalleviatethechillingreactionofwomenduringcesareansectionunderepiduralanesthesia,andreducetheimpactofshiveringonthedeliveryofnewborn,withsignificantsafety.

Keywords:T