Shehabi Y, Gatt S, Buckman T, Isert P
Anaesthetic Department, Royal Hospital for Women, Paddington, N.S.W., Australia.
Anaesth Intensive Care. 1990 Feb;18(1):31-7. doi: 10.1177/0310057X9001800106.
This prospective, controlled study was undertaken to determine whether addition of adrenaline or fentanyl to bupivacaine or warming of the injectate had any effect on the incidence of shivering following extradural analgesia in the labouring parturient. Eighty-four patients were sequentially allocated to four groups (control, warm injectate, extradural adrenaline and extradural fentanyl). The adrenaline group had the highest incidence of shivering, the warm injectate and fentanyl groups the lowest. Extradural fentanyl also seemed promising in reducing shivering in pre-block shiverers. This paper also explores the rapidity of temperature decay of solutions of bupivacaine in different clinical situations.
本前瞻性对照研究旨在确定在布比卡因中添加肾上腺素或芬太尼，或对注射剂进行加温，是否会对分娩期产妇硬膜外镇痛后寒战的发生率产生影响。84例患者被依次分为四组（对照组、注射剂加温组、硬膜外使用肾上腺素组和硬膜外使用芬太尼组）。肾上腺素组寒战发生率最高，注射剂加温组和芬太尼组最低。硬膜外使用芬太尼在减少阻滞前寒战患者的寒战方面似乎也很有前景。本文还探讨了不同临床情况下布比卡因溶液的温度衰减速度。
