布托啡诺对腰硬联合麻醉剖宫产术后寒战的疗效观察

摘要

目的 观察布托啡诺治疗产妇腰硬联合麻醉后寒战的效果.方法 选择在腰硬联合麻醉后发生寒战的择期剖宫产手术患者80例,随机分为布托啡诺组(A组,0.01 mg/kg)和曲马多组(B组,1 mg/kg),各40例,均在胎儿娩出后,用生理盐水稀释至5 mL静脉注入药物,观察两组疗效及不良反应,并监测平均动脉压(MAP)、血氧饱和度(SpO2)变化.结果 两组治疗寒战有效率差异无统计学意义(P>0.05),A组无恶心呕吐发生,B组恶心呕吐发生 17例(P0. 05 ). There was no vomiting case in group A, while 17 cases in group B( P <0. 05 ). Conclusion Butorphanol is better than tramadol when treating shivering in caesarean section under combined-spinal epidural anesthesia with few adverse effect.