蛛网膜下腔注射芬太尼对剖宫产产妇寒战的影响
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【摘要】 目的 研究蛛网膜下腔注射芬太尼对剖宫产产妇寒战的影响。方法 剖宫产产妇100例，随机等分为Ⅰ组(实验组)和Ⅱ组(对照组)。选用蛛网膜下腔阻滞麻醉-硬膜外联合麻醉，于L2～3椎间隙蛛网膜下腔注入蛛网膜下腔阻滞麻醉液2.4 ml，Ⅰ组蛛网膜下腔阻滞麻醉液含芬太尼20 μg。记录阻滞平面、血压(Bp)、心率(HR)，观察患者寒战发生情况。结果 寒战发生例数Ⅰ组12例，明显低于Ⅱ组30例(P<0.01)；轻度寒战Ⅰ组8例，Ⅱ组19例；重度寒战Ⅰ组4例，Ⅱ组11例。Ⅰ组明显低于Ⅱ组(P<0.01)；胎儿娩出前出现寒战者Ⅰ组4例，明显少于Ⅱ组13例(P<0.01)。结论 蛛网膜下腔注射芬太尼可降低剖宫产产妇胎儿娩出前寒战发生率及总发生率。
【关键词】 寒战；芬太尼；蛛网膜下腔阻滞；剖宫产
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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