مجله مراقبت های نوین
Modern Care Journal
چهارشنبه 13 آبان 1405
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دوره 9، شماره 1 - ( 12-1390 )
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Zangouei M, Zangouei M, Zangouei R, Toliat M. Comparison of the effects of 5% lidocaine and 5% meperidine plus 5% lidocaine on hypotension and duration of analgesia in postoperative cesarean section. , Mod Care J. 2012; 9 (1) :10-15
URL: http://mcj.bums.ac.ir/article-1-528-fa.html
URL: http://mcj.bums.ac.ir/article-1-528-fa.html
زنگوئی ملیحه، زنگوئی محبوبه، زنگوئی رضا، تولیت مریم. مقایسه اثر مخلوط مپریدین 5% و لیدوکائین 5% با لیدوکائین 5% بر طول مدّت بی‌دردی و کاهش فشار خون بعد از عمل سزارین. , مراقبت های نوین. 1390; 9 (1) :10-15
ملیحه زنگوئی1 
، محبوبه زنگوئی*2 ، رضا زنگوئی3 ، مریم تولیت4
، محبوبه زنگوئی*2 ، رضا زنگوئی3 ، مریم تولیت4
1- متخصص بیهوشی، دانشگاه علوم پزشکی بیرجند، ایران
2- استادیار گروه زنان، دانشکده پزشکی، دانشگاه علوم پزشکی بیرجند، ایران. تلفن: 0561443041-9 پست الکترونیک: afshan_zn@yahoo.com
3- داروساز و عضو هیات علمی دانشگاه آزاد اسلامی، واحد بیرجند، ایران
4- کارشناس ارشد پرستاری، عضو هیات علمی دانشکده پیراپزشکی، دانشگاه علوم پزشکی بیرجند، ایران
2- استادیار گروه زنان، دانشکده پزشکی، دانشگاه علوم پزشکی بیرجند، ایران. تلفن: 0561443041-9 پست الکترونیک: afshan_zn@yahoo.com
3- داروساز و عضو هیات علمی دانشگاه آزاد اسلامی، واحد بیرجند، ایران
4- کارشناس ارشد پرستاری، عضو هیات علمی دانشکده پیراپزشکی، دانشگاه علوم پزشکی بیرجند، ایران
چکیده: (470 مشاهده)
Background and Aim: In patients candidate for cesarean section one of anesthesia methods such as spinal or general is selected. There are many drugs for spinal anesthesia. The aim of the present study was to compare a combination of meperidine 5% + lidocaine 5% with single lidocaine 5% for spinal anesthesia in non emergency cesarean patients.
Materials and Methods: This clinical trial double blind study was done on fifty full-term pregnant women, with the physical status I or II, presenting for non-emergency cesarean selection under spinal anesthesia who were randomly divided into two equal groups .Fifteen minutes before entering the operating room, all patients received 10 mg IV metoclopramide. In patients of the first group a combination of meperidine 5% and lidocaine 5% and for the second group hyperboric lidocaine 5% was administered. Variables such as period of analgesia, hemodynamic changes, nausea, vomiting, etc. were measured. The obtained data was analysed by means of SPSS software, t-test, and χ2 at the significant level P<0.05.
Results: The results of the present study incidence of hypotension was lower in the meperidine + lidocaine group than in lidocaine group. The mean duration of postoperative analgesia was 342.5±18.5 minutes in the meperidine+lidocaine group and 131.6±15 minutes in mere lidocaine group (P=0.001).
Conclusion: The results of the present study showed that by adding pethidine to lidocaine it is possible to lengthen the period of postoperative analgesia and prevent hypotension, as well.
Materials and Methods: This clinical trial double blind study was done on fifty full-term pregnant women, with the physical status I or II, presenting for non-emergency cesarean selection under spinal anesthesia who were randomly divided into two equal groups .Fifteen minutes before entering the operating room, all patients received 10 mg IV metoclopramide. In patients of the first group a combination of meperidine 5% and lidocaine 5% and for the second group hyperboric lidocaine 5% was administered. Variables such as period of analgesia, hemodynamic changes, nausea, vomiting, etc. were measured. The obtained data was analysed by means of SPSS software, t-test, and χ2 at the significant level P<0.05.
Results: The results of the present study incidence of hypotension was lower in the meperidine + lidocaine group than in lidocaine group. The mean duration of postoperative analgesia was 342.5±18.5 minutes in the meperidine+lidocaine group and 131.6±15 minutes in mere lidocaine group (P=0.001).
Conclusion: The results of the present study showed that by adding pethidine to lidocaine it is possible to lengthen the period of postoperative analgesia and prevent hypotension, as well.
نوع مقاله: پژوهشي |
دریافت: 1390/10/4 | پذیرش: 1391/2/3 | انتشار: 1391/2/21
دریافت: 1390/10/4 | پذیرش: 1391/2/3 | انتشار: 1391/2/21
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