脊麻复合使用舒芬太尼对于剖宫产术后寒战发生率的影响

Effect of spinal anesthesia combined with sufentanil on the incidence of shivering after cesarean section

目的:评估鞘内注射舒芬太尼对剖宫产术后寒战发生率的影响。方法:收治脊麻下行剖宫产的孕妇80例,随机分为S组和M组,均给予脊麻(10 mg 0.5%高比重的丁哌卡因、80μg吗啡),S组另予2.5μg舒芬太尼。双盲条件下由同一位观察者评估患者是否出现寒战反应。结果:两组产妇术后均出现了腋温降低(P<0.001)。S组寒战发生率32.5%,低于M组的62.5%(P<0.007)。结论:对于使用高比重丁哌卡因和吗啡行脊麻的剖宫产患者,复合使用舒芬太尼可以降低术后寒战发生率。

Objective:To evaluate the effect of intrathecal sufentanil injection on the incidence of shivering after cesarean section.Methods:80 cases of pregnant women with cesarean section under spinal anesthesia were selected.They were randomly dividedinto the S group and the M group.They were all given spinal anesthesia(10 mg 0.5% high specific gravity bupivacaine,80 μgmorphine),while the S group received 2.5 μ g sufentanil for treatment.A same observer assessed whether patients appearedshivering under a double blind situation.Results:The axillary temperature was decreased after operation in the two groups(P<0.001).The incidence of shivering in the group S was 32.5%,which lower than that in the group M of 62.5%(P<0.007).Conclusion:For the cesarean section patients who use high specific gravity bupivacaine and morphine for spinal anesthesia,the use ofcomposite sufentanil can reduce the incidence of postoperative shivering.