盐酸右美托咪定预防剖宫产患者椎管内麻醉期间寒战反应的价值分析

Value analysis of dexmedetomidine hydrochloride in preventing chills reactions during intraspinal anesthesia in cesarean section patients

目的:评定盐酸右美托咪定预防剖宫产患者椎管内麻醉期间寒战反应的作用。方法:2018年4月-2020年6月收治剖宫产患者62例,随机分为两组,各31例。试验组在椎管内麻醉期间给予盐酸右美托咪定;参照组则采取0.9%氯化钠。比较两组临床效果。结果:试验组寒战反应分级Ⅰ~Ⅳ级比例、用药不良反应发生率均低于参照组,差异有统计学意义(P<0.05);试验组用药后0.5 h镇静评分高于参照组,差异有统计学意义(P<0.05)。结论:在剖宫产患者椎管内麻醉干预期间选用盐酸右美托咪定用药方法,有助于预防寒战反应的出现。

Objective:To evaluate the effect of dexmedetomidine hydrochloride in preventing chills reactions during intraspinal anesthesia in cesarean section patients.Methods:From April 2018 to June 2020,62 cases of patients who underwent cesarean section were enrolled,they were randomly divided into two groups with 31 cases in each group.The experimental group was given dexmedetomidine hydrochloride during intraspinal anesthesia.The reference group took 0.9% of sodium chloride.The therapeutic effects between the two groups was compared.Results:The proportion of grade Ⅰ-Ⅳ of chills reactions and the incidence of adverse drug reactions in experimental group were lower than those in reference group,the differences were statistically significant(P<0.05).After 0.5 h of administration,the sedation score of experimental group was higher than that of reference group,the difference was statistically significant(P<0.05).Conclusion:Dexmedetomidine hydrochloride is used in patients with cesarean section during intraspinal anesthesia intervention,which can help prevent the emergence of chills reactions.