浙江医学Issue(19)：1626-1628,3.
盐酸右美托咪啶和地佐辛治疗腰硬联合麻醉剖宫产产妇寒颤效果比较
Comparison of dexmedetomidine with dezocne in prevention of shiver for parturients with cesarean delivery under CSEA
段静 1钟泰迪1
作者信息
- 1. 310016 杭州，浙江大学医学院附属邵逸夫医院麻醉科
- 折叠
摘要
Abstract
Objective To compare the preventive effect on shiver between dexmedetomidine and Dezocne in parturi-ents with cesarean delivery under combined spinal and extradural anesthesia (CSEA). Methods One hundred and twenty par-turients with ful- term pregnancy, no pregnancy complications, no contraindication for intra- spinal canal anesthesia were scheduled for cesarean delivery under CSEA. Parturients were randomly divided into 2 groups (n=60 in each):after fetal child-birth, group DEX received intravenous dexmedetomidine 0.4μg/kg and group Dez received dezocne 0.15mg/kg. The classifi-cation of shiver and adverse reactions were documented. Results There was no significant difference in incidence of shiver grades 1 and 2 between two groups (P >0.05), and no shiver of grades 3 and 4 occurred in both groups. The incidence of dizziness, nausea, vomiting, respiratory depression, and lethargy in group DEX was significantly lower than that in group Dez (P<0.05); and parturients in group DEX were more likely to be awoken from the sleep state (P<0.05). Conclusion Both dexmedetomidine and dezocne can effectively prevent shiver in parturients with cesarean delivery under CSEA, but dezocre has higher incidence of adverse reactions than dexmedetomidine.关键词
寒颤/地佐辛/盐酸右美托咪啶/腰硬联合麻醉/剖宫产Key words
Shiver/Dezocne/Dexmedetomidine/CSEA/Cesarean delivery引用本文复制引用
段静,钟泰迪..盐酸右美托咪啶和地佐辛治疗腰硬联合麻醉剖宫产产妇寒颤效果比较[J].浙江医学,2014,(19):1626-1628,3.
