布托啡诺对预防妇科手术腰-硬联合麻醉后寒战反应的临床研究

Butorphanol Clinical Research on the Prevention of Gynecological Surgical Spinal-epidural Anesthesia Shivering Reaction

目的探讨布托啡诺对预防妇科手术腰-硬联合麻醉（CSEA）后寒战反应的临床效果。方法收集我院2011年~2012年70例行妇科手术治疗患者70例,随机分为观察组及对照组,各35例,两组患者手术均在CSEA下进行,观察组患者静脉应用布托啡诺,对照组患者注射哌替啶,观察两组患者麻醉后寒战发生率及改善情况。结果观察组患者寒战反应发生率低,与对照组患者比较差异明显,有统计学意义（P〈0.05）。结论布托啡诺可有效预防妇科手术CSEA后寒战反应,对生命体征影响较小,值得在临床推广。

Objective To investigate the butorphanol clinical effect of shivering after to preventive gynecological surgei＇y waist - epidural anesthesia （CSEA）. Method Collected in our hospital from 2011 to 2012, 70 gynecological surgical treatment of 70 patients were randomly divided into observation group and the control group, 35 cases in each, the two groups of patients were operated in the CSEA under observation group patients intravenous Bhutto brown promise, the control group patients were injected with pethidine, the observed incidence of shivering in the two groups of patients were anesthetized and improve the situation. Results The patients chills reaction low incidence of significant differences compared with the control group patients, a statistically significant （P〈0.05）. Conclusion Butorphanol effective prevention of gynecological surgery CSEA shivering little effect on vital signs, worth in clinical practice.