摘要
目的对比观察急诊剖宫产术麻醉前使用盐酸戊乙奎醚与阿托品对产妇及新生儿的影响。方法100例急诊剖宫产术患者随机分成两组,即盐酸戊乙奎醚组(A组)和阿托品组(B组),术前分别静注盐酸戊乙奎醚和肌注阿托品,记录用药前、麻醉前、麻醉5min及10min、术毕时的血压(SBp)、DBp、心率(HR)、血氧饱和度(SpO2)及胎儿娩出后1min和5min的Apgar评分。结果A组HR在各时点均无明显变化,B组在麻醉前、麻醉后5min、10min的HR与用药前相比均不同程度增高,两组在SBp、DBp、SpO2及Apgar评分方面无统计学差异。结论盐酸戊乙奎醚用作急诊剖宫产的术前用药可保证产妇血流动力学稳定,对新生儿无不良影响,值得临床进一步推广使用。
Objective To contrast the effect of penehyclidine hydrochlorid and Atropine in emergency cesarean section.Methods 100 cases were divided randomly into a penehyclidine hydrochlorid group （Group A） and a Atropine group （Group B）,with 50 cases in each.Then their SBp,DBp,HR,SpO2,neonatal Apgar score were observed and recorded.Results Group A have no obvious change in HR,but significant increased in Group B.additional,there have no statistical diference in SBp、DBp、SpO2 and neonatal Apgar score between the two groups.Conclusion Penehyclidine hydrochlorid can ensure the safety of maternal without influence on hemodynamics, and no significantly side effects to preterm. It is worth to deeply use in clinic.
出处
《检验医学与临床》
CAS
2010年第6期524-525,共2页
Laboratory Medicine and Clinic
关键词
盐酸戊乙奎醚
急诊剖宫产术
效果观察
penehyclidine hydrochlorid
cesarean section
effective evaluation
