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舒芬太尼对剖腹产寒颤的影响

         

摘要

目的观察舒芬太尼用于剖宫产术中寒颤的变化情况。方法选择200例行剖宫产患者,随机分为A、B两组(n=100)。A组在术中胎儿安全取出后给予舒芬太尼0.2 ug/Kg而B组在术中未做任何处理,比较两组术中寒战情况。结果 A组100例产妇中有5例发生轻度寒战而没有重度寒颤发生者,寒颤发生率约为5%;B组100例产妇中有轻度寒颤38例,重度寒颤22例,寒颤发生率为60%,两组比较,A组寒颤发生显著低于B组(<0.01)。结论舒芬太尼可明显减少患者术中寒颤的发生及严重程度,减少并发症的发生,使患者更加舒适,进而配合医生尽快完成手术,值得临床推广应用。%Objective To observe the changes of sufentanil for cesarean section in the shivering. Methods 200 cases of cesarean section patients, randomly divided into A, B two group (n=100). A group in the operation safety after take out the fetal given sufentanil 0.2ug/kg and group B in patients without any treatment, the two groups were compared intraoperative shivering. Results 5 patients had mild chil s and no severe chil s occurred in A group 100 cases of maternal, shivering occurrence rate is about 5%; 100 cases in group B were slightly shivering in 38 cases, 22 cases of severe chil s, chil s, the incidence rate was 60%, the two groups, A group was significantly lower than that in B group (shivering during <0.01). Conclusion Sufentanil can obviously reduce and the severity of shivering during operation in patients, reduce the incidence of complications, make the patient more comfortable, and cooperate with the doctor as soon as possible to complete the operation, it is worthy of clinical application.

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