右美托咪定治疗剖宫产蛛网膜下腔阻滞后寒战反应的研究

Study of Dexmedetomidine in the Treatment of Shivering Reaction After Subarachnoid Block in Cesarean Section

目的分析剖宫产蛛网膜下腔阻滞后采用右美托咪定治疗寒战反应的临床效果。方法回顾性分析100例产妇的临床资料,所有产妇均采用蛛网膜下腔阻滞行剖宫产分娩,对照组(n=50)注射生理盐水;观察组(n=50)注射右美托咪定,比较两组产妇寒战反应以及不良反应的发生情况。结果观察组发生4例轻度寒战,发生率8.00%;不良反应3例,低血压2例、恶心呕吐1例。对照组的寒战反应发生率为26.00%,其中6例轻度寒战、5例中度寒战、2例严重寒战;不良反应发生率28.00%,恶心呕吐和低血压各6例、心动过缓2例。差异具有统计学意义(P<0.05)。结论右美托咪定在剖宫产蛛网膜下腔阻滞后寒战反应的临床治疗中有良好的应用效果,值得推广。

Objective To analyze the clinical effect of dexmedetomidine in the treatment of shivering reaction after subarachnoid block in cesarean section.Methods The clinical data of 100 parturients received in our hospital from October 2019 to September 2020 were retrospectively analyzed.All parturients were given cesarean section by subarachnoid block.The control group(n=50)was injected with saline.The observation group(n=50)was injected with dexmedetomidine.The chills and adverse reactions of the two groups were compared.Situation.Results There were 4 cases of mild shivering in the observation group,the incidence was 8.00%,3 cases of adverse reactions(6.00%),2 cases of hypotension and 1 case of nausea and vomiting.The incidence of shivering reaction in the control group was 26.00%,including 6 cases of mild shivering,5 cases of moderate shivering and 2 cases of severe shivering.The incidence of adverse reactions was 28.00%,nausea and vomiting,6 cases of hypotension and 2 cases of bradycardia.The difference was statistically significant(P<0.05).Conclusion Dexmedetomidine has a good effect in the clinical treatment of shivering reaction induced by subarachnoid block in cesarean section,and it is worth popularizing.