小剂量舒芬太尼在剖宫产术麻醉中预防寒战和牵拉痛的临床效果分析

Analysis of Clinical Effect of Small-dose Sufentanil in Preventing the Chills and Dragging Pain in the Cesarean Section Anesthesia

目的探讨小剂量舒芬太尼在剖宫产术麻醉中预防寒战和牵拉痛的临床效果。方法该研究方便选取2016年1月—2017年1月在该院接受剖宫产术的64例产妇给予腰硬联合麻醉,按照产妇在麻醉过程中使用的药物不同将其分为研究组和对照组,其中对照组采用1 m L 0.75%布比卡因进行麻醉,而研究组采用1 m L 0.75%的布比卡因+舒芬太尼0.1 m L(5μg)麻醉,比较两组产妇寒战、牵拉痛发生率及新生儿Apgar评分。结果研究组产妇寒战发生率(18.75%)明显低于对照组(33.75%),且差异有统计学意义(χ~2=4.63,P<0.05)。研究组产妇牵拉痛发生率(12.50%)明显低于对照组(65.62%),且差异有统计学意义(χ~2=6.19,P<0.05)。两组新生儿Apgar评分[(9.87±0.45)分]、[(9.89±0.43)分]比较差异无统计学意义(t=0.48、0.26,P>0.05)。结论小剂量舒芬太尼可以有效预防剖宫产手术产妇麻醉后的产妇的寒战和牵拉痛的发生率,且安全性高,值得临床推广使用。

Objective To study the clinical effect of small-dose sufentanil in preventing the chills and dragging pain in the cesarean section anesthesia. Methods 64 cases of delivery women in the cesarean section from January 2016 to January2017 were selected for combined spinal-epidural analgesia, and the patients were divided into two groups according to different drugs in the anesthesia course, the control group adopted the 1 m L0.75% bupivacaine for anesthesia, while the research group adopted the 1 m L 0.75% bupivacaine and 0.1 m L(5 μg) sufentanil for anesthesia, and the incidence rates of chills and dragging pains, and newborns Apgar score were compared between the two groups. Results The incidence rate of chills in the research group was obviously lower than that in the control group(18.75% vs 33.75%), and the difference was statistically significant(χ2=4.63,P<0.05), the incidence rate of dragging pains in the research group was obviously lower than that in the control group(12.50% vs 65.62%), and the difference was statistically significant(χ2=6.19, P<0.05), and the difference in the newborn Apgar score between the two groups was not obvious,[(9.87±0.45)points vs(9.89±0.43)points],(t=0.48,0.26,P>0.05). Conclusion The small-dose sufentanil can effectively prevent the incidence rates of chills and dragging pains in the cesarean section with good safety, and it is worth promotion and application.