右美托咪定辅助腰－硬联合麻醉在剖宫产术的麻醉质量及对患者应激指标影响

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文献标识码：A

中图分类号：R614

文章编号：1006-1959（2025）12-0099-05

DOI：10.3969/j.issn.1006-1959.2025.12.020

Anesthetic Quality of Dexmedetomidine Assisted Combined Spinal-epidural Anesthesia in Cesarean Section and itsEffect on StressIndexes

XIAO Fuqiang，SHUI Junwen，PENG Chunlong

（DepartmentofAnesthesiology，NingduountyPeople'sHospital，Ningdu428Oo，Jiangxiia）

Abstract：Oetiosalitymedesddalualssiaa efectonpatientsstressidesMetdstotalof56parturientsudewntcesareasectioninduCountyeople'sospialfro JauaryO22toDeceer3eseletedsteeseahectseyeredividdtootroloupdsudyopydoble metodwithsclddd groupwagimeeosdpiacaidrodedlpalestsiaodess （RR），heart rate （HR），mean arterial pressure （MAP），blood oxygen saturation （SpC ∣2） ]，sedationand analgesia indexes[Visual Analogue Scale score （VAS）amse，eiid thepatilo）d itchingddnt difference in RR，HR，MAP and SpO 12 levels between the two groups（ P>0 0.05），while TheRR，HRand MAPinthe studygroup were lowerthan those in the control group，and the SpC ′2 levelwashigherthanthatinthecontrolgroupatthetimeofskinincision，fetaldelivery，closing theabdominal cavity，and completing the operation （ P<0.05） .When entering the operating room，there was no significant diffrence in VAS score and Ramsay score between the two groups（ P>0.05 ，while theVASscoreofthestudy groupwaslower than thatof thecontrol group，andtheRamsayscore was higher thanthatofeotrolopateieofinisiofetalelierylosindoalviyndopletigio P<0.05 .After operationeesoialoddddgotesinidotoiloiel superoxide dismutase was higher than that in the control group （ P< 0.05）.The incidence of adverse reactions in the study group was lower than that in the control group P<0.05） .ConclusionDexmedetomidineasistedcombinedspinal-epiduralanesthesiahasadefiniteapplicationefectincesarean sectionhl It is safe and worthy of application.

Keywords：Dexmedetomidine;Combinedspinal-epiduralanesthesia;Cesaeansection;Qualityofanesthesia;Stresindex

剖宫产作为临床产科常见的分娩方式，能够解决产妇难产以及各类产科综合征等问题，同时可对妊娠结局加以改善，挽救产妇和围生儿的生命安全。（剩余5607字）