Abstract:【Objective】 To explore the effects of nabocone hydrochloride on sedation, analgesia and negative emotions after cesarean section in women. 【Methods】 A total of 128 patients of full-term pregnant women who received cesarean section in our hospital were selected and randomly divided into two groups. There were 64 cases in the observation group who received intravenous injection of nabocone hydrochloride, while 64 cases in the control group received intravenous sufentanil analgesia. The sedative and analgesic effects of the two groups were observed and compared. The degree of postpartum depression of the two groups were measured and compared as well, while the total incidence of adverse reactions was calculated. 【Results】 The analgesic scores of 6h, 12h and 24h in the observation group were significantly lower than those in the control group; and the sedation score in the observation group was also lower than that in the control group. The difference between the two groups was significant (P<0.05). There was no significant difference in the antenatal depression score between the two groups (P>0.05). The postpartum depression score of the observation group 3 days after delivery in the observation group was significantly lower than that in the control group (P<0.05). The total postpartum depression rate in the observation group was7.81% which was significantly lower than that of the control group (23.44%, P<0.05). The incidence of adverse reactions in the observation group was 11.76% (8/64), which was significantly lower than that in the control group (59.38%, 38/64). The difference between the two groups was statistically significant (P<0.05). 【Conclusion】 Nabocone hydrochloride injection has a good effect on postoperative analgesia and sedation in cesarean parturients, the possibility of postpartum depression and the incidence of adverse reactions are low. It is suitable for clinical popularization.
李世红, 邓红燕, 牟俊杰. 盐酸纳布啡注射液对剖宫产手术后镇静镇痛效果及负性情绪的影响[J]. 医学临床研究, 2020, 37(4): 536-538.
LI Shi-hong, DENG Hong-yan, MOU Jun-jie. Effects of Nabocone Injection on Sedation, Analgesia and Negative Emotions after Cesarean Section. JOURNAL OF CLINICAL RESEARCH, 2020, 37(4): 536-538.
[1] 王敦亮,王秘群,申荣,等.盐酸纳布啡注射液用于剖宫产术后镇痛的临床研究及其对产后抑郁的预防作用[J].中国临床药理学杂志,2017,33(9):782-785. [2] 邓玫,张顺吉,龚航,等.盐酸纳布啡注射液用于剖宫产术后镇痛临床效果观察[J].中国妇幼保健,2016,31(24):5519-5521. [3] Charoenboon C,Srisupundit K,Tongsong T,et al.Rise in cesarean section rate over a 20-year period in a public sector hospital in northern Thailand[J].Arch Gynecol Obstet,2013,287(1):47-52. [4] 杨燕,刘志莲,张运琼,等.纳布啡和吗啡用于前列腺汽化电切术后自控硬膜外镇痛的效果比较及安全性分析[J].检验医学与临床,2018,15(1):19-21,26. [5] 初阳,孙刚.不同剂量纳布啡联合丙泊酚对宫腔镜手术患者麻醉和镇痛效果的影响[J].中国药房,2017,28(35):4955-4959. [6] 范文锋.小剂量舒芬太尼在剖宫产术麻醉中预防寒战和牵拉痛的临床观察[J].重庆医学,2013,42(2):195-197. [7] Hiller N,Schor-Bardach R,Gileles-Hillel A,et al.CT appearance of the pelvis after Cesarean delivery-what is considered normal[J].Clin Imaging,2013,37(3):514-519. [8] 阳婷婷,唐轶洋,张兴安,等.舒芬太尼与瑞芬太尼复合丙泊酚全凭静脉麻醉用于神经外科手术效果与安全性的系统评价[J].中国循证医学杂志,2013,13(12):1492-1499. [9] Sarifakioglu AB,Yemisci OU,Yalbuzdag SA,et al.Cauda equina syndrome after cesarean section[J].Am J Phys Med Rehabil,2013,92(2):179-182. [10] Kessous R,Tirosh D,Weintraub AY,et al.Second stage disorders in patients following a previous cesarean section: Vacuum versus repeated cesarean section[J].Arch Gynecol Obstet,2013,287(6):1075-1079. [11] 於桥,陈春.盐酸纳布啡的特点及临床应用现状[J].中国医药导报,2017,14(28):38-41. [12] Dweik D,Girasek E.Women's antenatal preferences for delivery route in a setting with high cesarean section rates and a medically dominated maternity system[J].Acta Obstet Gynecol Scand,2014,93(4):408-415.