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| The application of dexmedetomidine for anesthesia during cesarean section and its effect on postoperative chill occurrence |
| The Third People's Hospital of Hefei City (The Third Clinical College, Anhui Medical University), Hefei, Anhui Province, 230022 |
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Abstract To explore the application of dexmedetomidine for anesthesia during cesarean section, and to study its effect on postoperative chill occurrence. Methods: 80 women who needed to cesarean section were treated by epidural anesthesia, and were divided into control group and study group (40 cases in each group) from March 2017 to May 2018. The women in the control group were instilled saline after epidural anesthesia, and were target controlled infusion saline if postoperative chill occurrence. The women in the study group were instilled metomomidin after epidural anesthesia, and were target controlled infusion metomomidin if postoperative chill occurrence. The values of mean arterial pressure (MAP), heart rate (HR), pulse, oxygen saturation (SaO2), intraoperative basal metabolic rate (BMR), postoperative adverse reactions rate, and chill rate of women were compared between the two groups. Results: The values of MAP, HR and SaO2, and intraoperative BMR of women in the study group were significant lower than those of women in the control. The incidence of postoperative adverse reactions such as nausea and vomiting of women in the study group was 5.0%, which was significant lower than that (47.5%) of women in the control group, the incidence of grade 0 of chill of women in the study group was 85.0%, which was significant higher than that (55.0%) of women in the control group (all P＜0.05). There was no any women with the grade 3 and 4 of chill in both groups. Conclusion: The application of dexmedetomidine during caesarean section has good anesthetic effect, which can reduce adverse reactions and can decrease the postoperative chill rate.
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