右美托咪定腰硬联合麻醉在新式剖宫产术患者中的效果观察及对产后出血及泌乳的影响

Effect of dexmedetomidine combined spinal-epidural anesthesia in cesarean section and its influence on the postpartum hemorrhage and lactation

目的:研究和探讨右美托咪定腰硬联合麻醉在新式刮宫产术患者中的应用效果。方法:以我院2014年8月至2016年8月收治的142例新式剖宫产患者为研究对象,对其进行随机分组,研究者71例采用右美托咪定腰硬联合麻醉,对照组71例采用罗哌卡因麻醉。对两组患者VAS等级评定镇痛有效率、产后出血情况及产妇泌乳情况进行比较分析。结果:采用右美托咪定腰硬联合麻醉的研究组麻醉镇痛有效率为100%,高于对照组的90.14%。对照组患者出现7例产后出血,研究组患者未见产后出血。研究组患者产后24 h内泌乳27例,高于对照组的7例,组间差异具有统计学意义(P<0.05)。结论:右美托咪定腰硬联合麻醉用于新式剖宫产效果优于罗哌卡因麻醉,且母乳喂养的成功率较高,无明显不利反应,可在临床推广使用。

Objectives： To study the application value of dexmedetomidine combined spinal-epidural anesthesia on patients receiving cesarean section with curettage. Methods： 142 patients receiving cesarean section in our hospital from August 2014 to August 2016 were selected and randomized into two groups. The 71 patients in the study group received dexmedetomidine combined spinal-epidural anesthesia while the 71 patients in the control group received ropivacaine anesthesia. The VAS rating analgesic effectiveness,postpartum hemorrhage and maternal lactation conditions were compared between two groups. Results： The analgesics effective rate was 100% in the study group,higher than the 90. 14% in the control group. There were 7 and 0 cases of postpartum hemorrhage in the study group and control group respectively. There were 27 and 7 cases of postpartum lactation within 24 h in the study group and control group respectively,with statistically significant difference（ P〈0. 05）. Conclusion：Dexmedetomidine combined spinal-epidural anesthesia is better than ropivacaine anesthesia,with high success rate of postpartum lactation and no significant adverse reactions.