长托宁联合地塞米松在剖宫产术椎管内麻醉中的应用

Application of changtonine combined with dexamethasone in intraspinal anesthesia during cesarean section

目的:研究长托宁联合地塞米松在剖宫产术椎管内麻醉中的应用效果.方法:将2019年4月至2019年7月期间在重庆国宾妇产医院择期进行剖宫产术的100例产妇作为研究对象.将这100例产妇分为Ⅰ组(n=50)和Ⅱ组(n=50).对两组产妇均在实施椎管内麻醉后进行剖宫产术.术前,对Ⅰ组产妇使用地塞米松进行静脉注射,对Ⅱ组产妇使用长托宁和地塞米松进行静脉注射.然后,比较两组产妇寒战反应的发生率和血压水平下降的发生率及其胎儿阿普加的评分.结果:术中,与Ⅰ组产妇相比,Ⅱ组产妇寒战反应的发生率和血压水平下降的发生率均更低,P<0.05;两组产妇的胎儿阿普加的评分相比,P>0.05.结论:长托宁联合地塞米松在剖宫产术椎管内麻醉中的应用效果显著,可有效地降低产妇寒战的发生率,保持其血压水平的稳定,且对其胎儿无影响.

Objective:To investigate the effect of longtonine combined with dexamethasone in intravertebral anesthesia during cesarean section.Methods:From April 2019 to July 2019,100 cases of women undergoing cesarean section in Chongqing Guobin Maternity Hospital were studied.Will be divided into 100 cases of maternalⅠgroup(n=50)andⅡgroup(n=50).Caesarean section was performed after intraspinal anesthesia in both groups.Before operation,theⅠgroup maternal use of intravenous dexamethasone,maternal use ofⅡgroup long ning and intravenous dexamethasone.Then,the incidence of chills and blood pressure drops in the two groups and the fetal Apgar score were compared.Results:the intraoperative,compared with maternalⅠgroup,groupⅡincidence of maternal chills and the incidence of blood pressure levels were lower,P<0.05;The fetal apgar score of the two groups was compared to P>0.05.Conclusion:The application of changtonine combined with dexamethasone in intraspinal anesthesia during cesarean section has a significant effect,which can effectively reduce the incidence of chondria in pregnant women,maintain the stability of their blood pressure,and have no eff ect on their fetus.