羟考酮联合右美托咪啶镇痛对剖宫产术后子宫收缩及牵拉疼痛的影响

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Abstract Objective The impacts of Oxycodone combined with Dexmedetomidine analgesia on uterine contraction and traction pain after cesarean section. Methods From October 2018 to December 2019, 104 parturients who gave birth by cesarean section in Liaoyang City Central Hospital were selected as the research objects. According to random number table method, they were divided into observation group and control group, with 52 cases in each group, the observation group was treated with Oxycodone combined with Dexmedetomidine for postoperative analgesia, and the control group was treated with Dexmedetomidine for postoperative analgesia. The visual analogue scale (VAS) score, Ramsay sedation score, incidence of adverse reactions, Edinburgh postpartum depression scale (EPDS) score of two groups in the maternal pain were compared. Results At 6, 12, 24, 48 h after operation, the VAS scores of surgical incision pain and uterine contraction pain of the puerpera in the observation group were lower than those in the control group, the differences were statistically significant (P<0.05). There were no significant differences in the Ramsay sedation score and the total incidence of adverse reactions between the two groups at 2, 4, 6, 12, 24, 48 h after operation (P>0.05).The EPDS scores of two groups after operation were lower than those before operation, and the EPDS score of the observation group was lower than that of the control group, the differences were statistically significant (P<0.05).Conclusion The combination of Oxycodone and Dexmedetomidine has a good analgesic effect after cesarean section. It can effectively reduce postoperative uterine contractions and traction pain, relieve postpartum depression, and have fewer adverse reactions.

Key words： Cesarean section Oxycodone Dexmedetomidine Uterine contraction Pain

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[1]	Li HT，Luo S，Trasande L，et al.Geographic variations and temporal trends in cesarean delivery rates in China，2008 -2014[J].JAMA，2017，317（1）：69-76.
[2]	包特博沁，牛玲霞，聂冰清，等.不同麻醉方式对合并前置胎盘伴植入二胎剖宫产母婴结局的影响[J].中华麻醉学杂志，2019，39（11）：1367-1370.
[3]	Carusi D.Pregnancy of unknown location：Evaluation and management[J].Semin Perinatol，2019，43（2）：95-100.
[4]	贺海丽，权哲峰，池萍，等.羟考酮用于剖宫产术后静脉自控镇痛的临床效果[J].中国医药，2017，12（7）：1057-1060.
[5]	胥丹，刘苏，孙乾伟，等.布托啡诺复合右美托咪定抑制剖宫产术后宫缩痛的临床效果观察[J].现代生物医学进展，2018，18（8）：1519-1522.
[6]	王广科，林洪启.小剂量舒芬太尼对剖宫产术麻醉中寒战与牵拉痛的预防作用分析[J].中国民康医学，2018，30（11）：50-52.
[7]	Langley GB，Sheppeard H.The visual analogue scale：its use inpain measurement[J].Rheumatol Int，1985，5（4）：145-148.
[8]	Mendes CL，Vasconcelos LC，Tavares JS，et al.Ramsay and Richmond′s scores are equivalent to assessment sedation level on critical patients[J].Rev Bras Ter Intensiva，2008，20（4）：344-348.
[9]	Hawley C，Gale T.Validity of the Chinese version of the Edinburgh Postnatal Depression Scale[J].Br J Psychiatry，1998，173：271.
[10]	Fahmy WM，Crispim CA，Cliffe S.Association between maternal death and cesarean section in Latin America：A systematic literature review[J].Midwifery，2018，59：88-93.
[11]	钱怡玲，许波，高宏，等.右美托咪定复合舒芬太尼静脉镇痛对剖宫产术后镇痛效果及产后抑郁的影响[J].临床麻醉学杂志，2018，34（6）：558-561.
[12]	邓红波，封享兰，张宗泽，等.舒芬太尼或羟考酮自控静脉镇痛联合腰方肌阻滞用于剖宫产术后镇痛的效果[J].临床麻醉学杂志，2020，36（2）：124-127.
[13]	钱夏丽，朱伟，韩传宝.羟考酮复合布托啡诺用于二次剖宫产术后静脉自控镇痛的效果[J].临床麻醉学杂志，2019，35（5）：444-447.
[14]	张晓明，胡建玉.右美托咪定联合舒芬太尼对剖宫产术后镇痛效果及对产后抑郁预防作用[J].全科医学临床与教育，2019，17（8）：742-744.
[15]	Ruan X，Mancuso KF，Kaye AD.Revisiting Oxycodone Analgesia：A Review and Hypothesis[J].Anesthesiol Clin，2017，35（2）：e163-e174.
[16]	王小华，王晓燕，钱兴华，等.羟考酮复合利多卡因用于硬膜外分娩镇痛的效果[J].中国新药与临床杂志，2019，38（10）：607-610.