曲馬多預(yù)處理防治腰硬聯(lián)合阻滯麻醉下剖宮產(chǎn)寒戰(zhàn).pdf

1、福建醫(yī)科大學(xué)碩士學(xué)位論文曲馬多預(yù)處理防治腰硬聯(lián)合阻滯麻醉下剖宮產(chǎn)寒戰(zhàn)姓名：鄒聰華申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：臨床麻醉學(xué)指導(dǎo)教師：陳彥青20100301TramadolPreconditioningReducesShiveringAfterCombinedSpinalobjectiveandEpiduralAnesthesiaforcaesareansectionComparisonoftheTramadolPreconditioningpr

2、eanesthesiaandpostanesthesiaontheshiverwhichshowupafterthecombinedspinalepiduralanesthesiainthecaesareansection，SOthatwecangivethereferencetoclinicalworkingMethods：SixtyASAIorIIpatientswithuterogestation，scheduledforcaes

3、areansectionundercombinedspinalepiduralanesthesiawererandomlyallocatedin3groupswith20patientsineachgroup：thefirstphysiologicalsalinegroup，administerphysiologicalsaline5minutespreanesthesia(n=20，groupI)，thefirsttramadolgr

4、oup，administertramadollmg／kg5minutespreanesthesia(n=20，groupII)，thesecondphysiologicalsalinegroup，administertramadollmg／kgpostanesthesiaimmediately(n=20，groupIII)Setupthevenouschannelaftercomeintotheoperatingrooms，andadm

5、inisterthegranisetron3mgintravenouslyguttae，andpreconditioninghydroxyethylstarch130／04injection500mlintravenouslyguttae30minitespreanesthesiaDilutethedrugsofexperimentinto20mlinthecorrespondingtime，administeritinnearlyse

6、condminutesInvestigatethetheHR、MAP、SP02atthetimecomingintotheoperatingrooms，5minutesbeforetheanesthesia，3minutesaftertheanesthesia，5minutes，10minutes，15minutes，20minutesaftertheanesthesiaAlsecordthemaximalsensationblocki

7、nglevelandmotionblockinglevel，theapgarscoreofneonateInvestigatethatifthereanycomplication，suchasnausea，vomiting，Dyspneaduring，dizziness，etal，frompreanesthesiatopostoperationInvestigatetheshiveringstatusincludingtheorigin

8、atedtime，lastingtimeandtheseverityuntil2hoursaftertheoperation1ksults：Therewasnosignificantdifferenceintheages，bodyweightandthebodyheightbetweenthethreegroups(P005)，aswellastheHR、MAP、SP02ineachtimeoffourgroupsandthetimeb