梁俏丽 叶君 周结贤

    【摘要】 目的：探讨右美托咪定在剖宫产中的应用价值。方法：选取2019年8月-2020年4月本院剖宫产产妇200例，根据麻醉方法分为观察组(n=102)和对照组(n=98)，观察组静脉给予右美托咪定并复合罗哌卡因蛛网膜下腔麻醉，对照组给予罗哌卡因蛛网膜下腔麻醉。比较两组术中Ramsay镇静评分、Wrench分级以及牵拉反应。比较两组新生儿脐静脉血皮质醇(Cor)与一氧化氮(NO)。结果：观察组Ramsay镇静评分优于对照组(P<0.05);观察组Wrench分级、牵拉反应均明显弱于对照组(P<0.05);观察组新生儿脐静脉Cor明显低于对照组新生儿，而NO明显高于对照组新生儿(P<0.05)。结论：右美托咪定在剖宫产术中具有一定的应用价值，可减轻寒战及牵拉反应的发生。

    【关键词】 右美托咪定 剖宫产术 寒战 牵拉反应

    Application Value of Dexmedetomidine in Cesarean Section/LIANG Qiaoli， YE Jun， ZHOU Jiexian. //Medical Innovation of China， 2021， 18(31)： -175

    [Abstract] Objective： To explore the application value of Dexmedetomidine in cesarean section. Method： A total of 200 cases of cesarean delivery in our hospital were selected from August 2019 to April 2020， and they were divided into observation group (n=102) and control group (n=98) according to the anesthesia method. The observation group was given Dexmedetomidine intravenously combined with subarachnoid anesthesia with Ropivacaine ......