舒芬太尼联合咪达唑仑预防剖宫产麻醉中寒战和牵拉痛的效果分析

强波

（西安慈爱妇产医院，陕西 西安，710000）

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摘要：

目的 观察舒芬太尼联合咪达唑仑预防剖宫产麻醉中寒战和牵拉痛的效果。方法 选取2016年1月至2016年12月在我院行剖宫产手术的产妇64例为研究对象，随机分为对照组与试验组，每组32例。对照组产妇使用咪达唑仑+葡萄糖麻醉， 试验组产妇使用咪达唑仑+舒芬太尼+葡萄糖麻醉，比较两组产妇麻醉中寒战和牵拉痛发生情况。结果 对照组产妇寒战总发生率为81.25%，试验组为56.25%，试验组寒战总发生率显著低于对照组（P<0.05）；对照组麻醉中无牵拉痛发生率显著低于试验组（P<0.05），轻、中及重度牵拉痛发生率稍高于试验组（P>0.05）。结论 舒芬太尼联合咪达唑仑在预防剖宫产麻醉中寒战和牵拉痛的发生具有显著临床意义。

关键词：舒芬太尼；咪达唑仑；剖宫产麻醉；寒战；牵拉痛

中图分类号：R614文献标志码：A文章编号：2096-1413(2017)24-0055-02

Effect analysis of sufentanil combined with midazolam in the prevention of shivering and traction pain during cesarean section anesthesia
QIANG Bo
(Xi``an Ciai Maternity Hospital, Xi``an 710000, China)

ABSTRACT：Objective To observe the effect of sufentanil combined with midazolam in the prevention of shivering and traction pain during cesarean section anesthesia. Methods Sixty-four cases of maternals undergoing cesarean section in our hospital from January 2016 to December 2016 were selected and randomly divided into control group and experimental group, with 32 cases in each group. The control group was given midazolam + glucose anesthesia, while the experimental group was given midazolam + sufentanil anesthesia + glucose, the incidence of shivering and stretch pain between the two groups were compared. Results The total incidence rate of shivering in the control group was 81.25%, and it was 56.25% in the experimental group, the total incidence rate of shivering in the experimental group was significantly lower than the control group (P<0.05). The incidence of no pain caused by traction in the control group was significantly lower than that in the experimental group (P<0.05), the incidence of mild, moderate and sever pain were slightly higher than those in the experimental group (P>0.05). Conclusion Sufentanil combined with midazolam has significant clinical effect in the preventing the occurrence of shivering and tension pain during cesarean section anesthesia.

KEYWORDS: sufentanil; midazolam; cesarean section anesthesia; shivering; traction pain

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