Effect of intravenous injection of remifentanil on comfort level of birth-giving women with scarred uterus undergoing cesarean section
- VernacularTitle:静脉泵注小剂量瑞芬太尼对瘢痕子宫产妇剖宫产手术中舒适度的影响
- Author:
Lei WU
1
;
Zhen TIAN
;
Yu-feng TIAN
;
Yue CHEN
;
Zhi-yong YAN
;
Juan DU
Author Information
- Publication Type:Journal Article
- Keywords: remifentanil; spinal anesthesia; scarred uterus; caesarean section; newborn; intraoperative comfort
- From: Journal of Regional Anatomy and Operative Surgery 2025;34(3):232-235
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the effect of intravenous injection of remifentanil on the comfort level of birth-giving women with scarred uterus undergoing cesarean section.Methods A total of 82 birth-giving women with scarred uterus who underwent cesarean section in the Suqian Hospital of Jiangsu Provincial People's Hospital from October 2021 to September 2023 were selected and randomly divided into the observation group and the control group(with 41 cases in each group).Before skin resection of cesarean section,the birth-giving women of the observation group were injected with 0.05 μg·kg-1·min-1 remifentanil intravenously until the end of the operation,and these in the control group was injected with the same amount of normal saline.The vital signs and pain at different time points,traction reaction and occurrence of maternal and infant complications were compared between the two groups.Results The mean arterial pressure(MAP),heart rate(HR),pain visual analogue scale(VAS)score and incidence of traction reactions at abdominal exploration in the observation group were significantly lower than those in the control group(P<0.05).There was no significant difference in the neonatal umbilical vein pH value,umbilical vein blood pulse oximetry saturation(SPO2),Apgar scores 1 minute and 5 minutes after birth of newborn,or nausea,vomiting and respiratory depression of birth-giving women between the two groups(P>0.05).Conclusion For birth-giving women with scar uterus who underwent cesarean section,intravenous injection of 0.05 μg·kg-1·min-1 of reifentanil can reduce the fluctuation of vital signs,significantly relieve the traction reaction at abdominal exploration,with a few maternal and infant complications,which is conducive to improving the comfort level of the birth-giving women.
