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目的:探讨轻度子痫前期产妇剖宫产应用鞘内注射右美托咪定的治疗效果,确保产妇妊娠结果以及新生儿的健康。方法:选取2014年6月至2015年6月在阳春市妇幼保健院妊娠并进行剖宫产手术的轻度子痫产妇120例,根据其入院的时间平均分为两组,其中单号的产妇为观察组,双号的产妇为对照组,各60例。观察组产妇给予鞘内注射右美托咪定的方式,对照组产妇给予0.9%氯化钠注射液的方式。结果:观察组产妇的感觉以及运动组织时间明显短于对照组,并且其持续的时间也比对照组产妇长;两组产妇在PASS评分、新生儿窒息情况以及恶心呕吐症状上差异均无统计学意义(P>0.05),但是两组产妇寒战情况,观察组产妇的发生率明显低于低于对照组产妇,异具有统计学意义(P<0.05)。结论:临床上对于轻度子痫前期的产妇,对于其麻醉的选择十分重要,同时也是手术成功的关键,而本次研究表示剖宫产应用鞘内注射右美托咪定效果良好,有利于降低产妇的不良反应发生率,同时麻醉效果好,因此值得作为首选治疗方式。
Objective: To investigate the therapeutic effect of intrathecal dexmedetomidine for cesarean section in mild preeclampsia and to ensure the maternal pregnancy outcome and neonatal health. Methods: From June 2014 to June 2015, 120 pregnant women with mild eclampsia who underwent cesarean section during pregnancy in Maternal and Child Health Hospital of Yangchun were selected and divided into two groups according to their time of admission. The number of maternal For the observation group, double number of maternal for the control group, 60 cases each. In the observation group, the maternal method of intrathecal dexmedetomidine administration and the control group were given 0.9% sodium chloride injection. Results: The observation group maternal feeling and exercise time was significantly shorter than the control group, and the duration of the maternal longer than the control group; two groups of maternal PASS score, neonatal asphyxia and symptoms of nausea and vomiting no statistical difference (P> 0.05). However, the maternal chills in the two groups were significantly lower than those in the control group (P <0.05). CONCLUSIONS: Clinically, for maternal mild mild preeclampsia, the choice of anesthesia is very important and also the key to successful operation. However, this study shows that intrathecal dexmedetomidine is effective in cesarean section and is beneficial to Reduce maternal adverse reaction rate, and good anesthesia, it is worth as the preferred treatment.