小剂量舒芬太尼在剖宫产术麻醉中预防寒战和牵拉痛的临床观察

目的：观察小剂量舒芬太尼在剖宫产术麻醉中预防寒战和牵拉痛的临床效用。方法选择2012年1月~2013年1月在我院行剖宫产术的产妇52例作为研究对象。随机分为两组：舒芬太尼组和常规麻醉组，每组26例。舒芬太尼组用药情况为：0.75%布比卡因1 mL、舒芬太尼5μg、10%葡萄糖0.5 mL；常规麻醉组用药为0.75%布比卡因1 mL、10%葡萄糖0.5 mL。观察两组产妇术前术后的心率、新生儿Apgar评分、寒战和牵拉痛情况。结果两组产妇术前、术后心率、新生儿Apgar评分比较无统计学意义；寒战和牵拉痛发生率比较有统计学意义。结论小剂量舒芬太尼在剖宫产术麻醉中可降低寒战和牵拉痛的发生率，并且是安全的。

Clinical study on small dose sufentanil in anesthesia in caesarean section for prevention of chill and dragging pain

Objective To observe effect of small dose sufentanil in anesthesia in caesarean section for prevention of shivering and dragging pain. Methods From January 2012 to January 2013, 52 women who underwent cesarean section were arranged in two groups, sufentanil group and general anesthesia group. Patients in sufentanil group used 0.75%bupivacaine, sufentanil 5 μg and 10% glucose. Patients in general anesthesia group used 0.75% bupivacaine and 10%glucose. Heart rate before and after operation, newborn＇s Apgar score, chills, dragging pain were compared. Results Comparative difference of heart rate before and after operation, newborn＇s Apgar score between the two groups showed no statistical significance. Comparative difference of chills and dragging pain situations indicated statistical signifi-cance. Conclusion Small dose sufentanil can reduce the incidence of chill and dragging pain in anesthesia in caesare-an section, and it is safe.