Đánh giá tác dụng không mong muốn giữa các liều 7mg, 8mg và 10mg bupivacain tỷ trọng cao 0,5 phần trăm kết hợp với 40 microgam fentanyl gây tê tủy sống trong mổ lấy thai

 0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thụ Nguyễn, Văn Cường Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 615.781 Anesthetics

Thông tin xuất bản: Y Dược lâm sàng 108, 2013

Mô tả vật lý: 93-98

Bộ sưu tập: Metadata

ID: 557206

Nowadays, spinal anaesthesia plays a very important role in Cesarean. However, side-effects between doses and the appropriate dose of local anaesthesia are still different. Ojectives: This article is to assess the side-effects among doses. Subjects and methods: The study included 365 parturients who were divided into three groups: Group I with 122 parturients, Group II: 122 parturients and Group III: 121 parturients. These patients underwent the spinal anaesthesia in sitting position and the puncture position is L2-3. This research applies the retrospective random test study design, including the comparison among the three groups of I, II and III. Results and discussions: The rate of hypotension during the operation in Group III is higher than that of Group II with p0.05. The patients in Group I demands higher dose of fentanyl and ketamine. The rate of nausea, vomit in operations of Group III (37.2 percent ) is much higher than the rate of 3.3 percent in Group II and Group I (1.8 percent ). This difference has the statistic meaning (p 0.001). The rate of frisson during the operation in Group III (40.5 percent ) is clearly higher than that in Group II (4.1 percent ) and Group I (0.8 percent ). This difference has the statistic meaning (p 0.001). The post-operative adverse effects in three groups are not different with p 0.05. Therefore, for the rate of vomit and frisson, Group I and Group II has the least undesired effects compared with Group III (p 0.05). This difference has the statistic meaning with p 0.05. Conclusions: The dose 8mg bupivacain has lower rate of undesired effects during the operation than the doses of 10mg and 7mg.
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