小剂量丙泊酚联合曲马多用于椎管内麻醉后寒战患者的效果

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Abstract Objective To observe the effect of low-dose Propofol combined with Tramadol for patients with chills after intraspinal anesthesia.Methods A total of 100 patients with chills after intraspinal anesthesia from January 20,2016 to January 20,2017 in our hospital were selected as the subjects,and divided into control group (n=50)and observation group by computer random matching,50 cases in each group.In the control group,Tramadol was used,while in the observation group,low-dose Propofol combined with Tramadol was adopted.The mean arterial pressure(MAP),heart rate(HR),SpO2,chills grading,depth of sedation,total effectiveness rate,and recurrence were compared between the two groups.Results The MAP at 5,7,and 10 minutes after treatment in the observation group was lower than that of the control group(P<0.05).The HR and SpO2at 5,7,and 10 minutes after administration in the observation group were not greatly different compared with those in the control group(P>0.05).There was no significant difference in chills grading between the observation group and the control group(P>0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The depth of sedation in the observation group was not significantly different from that in the control group (P＞0.05).The total effectiveness rate of chills was higher in the observation group than the control group (P<0.05).The recurrence rate of the patients in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion The use of low-dose propofol combined with tramadol via intraspinal anesthesia obtains a remarkable effect on treating chills,it can also improve the hemodynamic parameters,which is worthy of research.

Key words： Low-dose Propofol Tramadol Intraspinal anesthesia Chill effect

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YANG Qi-lin. Effect of low-dose Propofol combined with Tramadol for patients with chills after intraspinal anesthesia[J]. 中国当代医药, 2018, 25(15): 77-80.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I15/77

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