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| Analgesic Effect of Sevoflurane Inhalation combined with Dizosin on Parturients with Gestational Hypertension during Cesarean Section and Prevention of Shivering |
| ZHANG Tingting, YAO Minglong, CAI Hengyu, et al |
| Shenyang Maternal and Children Hospital, Liaoning Shenyang 110001, China |
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Abstract Objective: To explore the analgesic effect of sevoflurane inhalation combined with dizosin on parturients with gestational hypertension during cesarean section and the prevention effect of shivering. Methods: 80 cases of pregnant women with high blood pressure admitted to our hospital from May 2014 to May 2017 were selected as the study subjects. They were divided into observation group (n=45) and control group (n=35) by random number table method. The control group was anesthetized with sevoflurane, and after the birth of the fetus, tramadol was given intravenously, on the basis of the control group, and the observation group was injected with dezocin. The occurrence of shivering after anesthesia was compared between the two groups. Visual Analogue Scale/Score (VAS) was used to score the rest and exercise time, recovery time, incidence of restlessness and effective analgesia time at each time point after operation. The occurrence of adverse reactions in the two groups was recorded. Results: The incidence of cold war in the observation group was 8.89%, which was significantly lower than 34.29% in the control group (P<0.05). The VAS scores of both groups showed a decreasing trend in both maternal resting and activity, and the observation group was lower than the control group at 4h, 8h, 12h, 24h and 48h after surgery, and the difference was statistically significant (P<0.05). There was no significant difference between the two groups. The incidence of wakeful observation group was significantly lower than that in the control group (P<0.05). The effective analgesic time control group was significantly smaller than the observation group, and the difference was statistically significant (P<0.05). The incidence of adverse reactions in the observation group was 6.67%, which was significantly lower than that in the control group (P<0.05). Conclusion: Sevoflurane inhalation combined with diazoxin during caesarean section in hypertensive women during pregnancy has a significant analgesic effect and can effectively prevent the incidence of cold war after anesthesia. It is safe and effective and worthy of promotion and application.
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2018, Vol. 24 
