右美托咪定预防腰硬联合麻醉剖宫产胎儿取出后寒战的临床观察
摘要
<正>在腰硬联合麻醉下实施剖宫产,由于阻滞区域血管扩张,手术区域皮肤暴露,消毒液蒸发带走了大量的热能,导致中心体温下降,产妇常因此发生严重寒战。严重的寒战反应加重术后切口疼痛,增加机体氧耗,加重心肺负荷,使患者围手术期风险增高。右美托咪定是一种高选择性肾上腺素α2受体激动药,因其具有镇静、抗焦虑、镇痛和抗寒战作用而应用于临床,其中抗寒战作
引文
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[2]Venkatesan T,Korula G.A comparative study between the effect of 4% endotracheal tube cuff lignocaine and 1.5%mg/kg intrave-nous lignocaine oncoughing and hemodynamics during extuba-tion in neurosurgical patients:a randomized controlled double-blind trial[J].Neurosurg Anesthesiol,2006,18(4):230-234.
[3]杭燕南.现代麻醉与复苏[M].上海:上海科技出版社,1994:485-493.
[4]袁瑞霞.硬膜外麻醉中寒战反应及其处理[J].医学综述,1998,4(2):88.
[5]莫如珍.剖宫产术中寒战的原因及护理[J].实用护理学,2010,3(4):30-31.
[6]Elvan EG,Uzun S.Dexmedetomidine and postoperative shiveringin patients undergoing elective abdominal hysterectomy[J].European Journal of Anesthesiology,2008,25(5):357-364.
[7]Tobias JD.Bradycardin during dexmedetomidine and therapeutic hypothermia[J].J Intensive Care Mad,2008,23(6):403-408.