2</sub>) ]和鎮(zhèn)靜鎮(zhèn)痛指標(biāo)[視覺模擬痛覺評(píng)分(VAS)、Ramsay鎮(zhèn)靜評(píng)分],應(yīng)激反應(yīng)水平(皮質(zhì)醇、超氧化物歧化酶、丙二醛、血管緊張素Ⅱ)及不良反應(yīng)(寒戰(zhàn)、瘙癢、頭暈、惡心嘔吐)發(fā)生率。結(jié)果入手術(shù)室時(shí),兩組 RR、HR、MAP、SpO<sub>2</sub> 水平比較,差異無統(tǒng)計(jì)學(xué)意義( <sub>(P>0.05)</sub> ;切皮操作時(shí)、胎兒娩出時(shí)、關(guān)閉腹腔時(shí)、完成手術(shù)時(shí),研究組RR、HR、MAP低于對(duì)照組, SpO<sub>2</sub> 水平高于對(duì)照組( ?P<0.05) 。入手術(shù)室時(shí),兩組VAS評(píng)分、Ramsay評(píng)分比較,差異無統(tǒng)計(jì)學(xué)意義( <sub>P>0.05)</sub> ;切皮操作時(shí)、胎兒娩出時(shí)、關(guān)閉腹腔時(shí)、完成手術(shù)時(shí),研究組VAS評(píng)分低于對(duì)照組,Ramsay評(píng)分高于對(duì)照組( (P<0.05) 。術(shù)后,研究組皮質(zhì)醇、丙二醛、血管緊張素Ⅱ水平均低于對(duì)照組,而超氧化物歧化酶水平高于對(duì)照組( P<0.05) 。研究組不良反應(yīng)發(fā)生率低于對(duì)照組0 (P<0.05) 。結(jié)論右美托咪定輔助腰-硬聯(lián)合麻醉在剖宮產(chǎn)術(shù)中的應(yīng)用效果確切,能夠維持患者血流動(dòng)力學(xué)穩(wěn)定,提高鎮(zhèn)靜鎮(zhèn)痛效果,降低患者應(yīng)激反應(yīng)發(fā)生風(fēng)險(xiǎn),且安全性較高,值得應(yīng)用。-龍?jiān)雌诳W(wǎng)" />

特黄三级爱爱视频|国产1区2区强奸|舌L子伦熟妇aV|日韩美腿激情一区|6月丁香综合久久|一级毛片免费试看|在线黄色电影免费|国产主播自拍一区|99精品热爱视频|亚洲黄色先锋一区

右美托咪定輔助腰-硬聯(lián)合麻醉在剖宮產(chǎn)術(shù)的麻醉質(zhì)量及對(duì)患者應(yīng)激指標(biāo)影響

  • 打印
  • 收藏
收藏成功


打開文本圖片集

文獻(xiàn)標(biāo)識(shí)碼:A

中圖分類號(hào):R614

文章編號(hào):1006-1959(2025)12-0099-05

DOI:10.3969/j.issn.1006-1959.2025.12.020

Anesthetic Quality of Dexmedetomidine Assisted Combined Spinal-epidural Anesthesia in Cesarean Section and itsEffect on StressIndexes

XIAO Fuqiang,SHUI Junwen,PENG Chunlong

(DepartmentofAnesthesiology,NingduountyPeople'sHospital,Ningdu428Oo,Jiangxiia)

Abstract:Oetiosalitymedesddalualssiaa efectonpatientsstressidesMetdstotalof56parturientsudewntcesareasectioninduCountyeople'sospialfro JauaryO22toDeceer3eseletedsteeseahectseyeredividdtootroloupdsudyopydoble metodwithsclddd groupwagimeeosdpiacaidrodedlpalestsiaodess (RR),heart rate (HR),mean arterial pressure (MAP),blood oxygen saturation (SpC ∣2) ],sedationand analgesia indexes[Visual Analogue Scale score (VAS)amse,eiid thepatilo)d itchingddnt difference in RR,HR,MAP and SpO 12 levels between the two groups( P>0 0.05),while TheRR,HRand MAPinthe studygroup were lowerthan those in the control group,and the SpC ′2 levelwashigherthanthatinthecontrolgroupatthetimeofskinincision,fetaldelivery,closing theabdominal cavity,and completing the operation ( P<0.05) .When entering the operating room,there was no significant diffrence in VAS score and Ramsay score between the two groups( P>0.05 ,while theVASscoreofthestudy groupwaslower than thatof thecontrol group,andtheRamsayscore was higher thanthatofeotrolopateieofinisiofetalelierylosindoalviyndopletigio P<0.05 .After operationeesoialoddddgotesinidotoiloiel superoxide dismutase was higher than that in the control group ( P< 0.05).The incidence of adverse reactions in the study group was lower than that in the control group P<0.05) .ConclusionDexmedetomidineasistedcombinedspinal-epiduralanesthesiahasadefiniteapplicationefectincesarean sectionhl It is safe and worthy of application.

Keywords:Dexmedetomidine;Combinedspinal-epiduralanesthesia;Cesaeansection;Qualityofanesthesia;Stresindex

剖宮產(chǎn)作為臨床產(chǎn)科常見的分娩方式,能夠解決產(chǎn)婦難產(chǎn)以及各類產(chǎn)科綜合征等問題,同時(shí)可對(duì)妊娠結(jié)局加以改善,挽救產(chǎn)婦和圍生兒的生命安全。(剩余5607字)

目錄
monitor