摘要
目的 :探讨阈下剂量氯胺酮应用于剖宫产术麻醉中的可行性。方法 :80例产妇在连续硬膜外麻醉下行剖宫产手术 ,随机分成对照组和试验组。于切皮前分别静注 0 .4m g/kg的生理盐水和氯胺酮 ,观察并记录术中低血压和阻滞不全、新生儿 Apgar评分及产妇 Sp O2 情况。结果 :试验组低血压和阻滞不全的发生率分别为 0和 5 % ,明显较对照组 30 % ,2 5 %低 ( P<0 .0 5 ) ;两组新生儿 Apgar评分及产妇 Sp O2 则无明显差异 ( P>0 .0 5 )。结论 :阈下剂量的氯胺酮应用于剖宫产术麻醉是可行的。
Objective:It is to investigate the feasibility of a low dose ketamine used in anesthesia for cesarean section. Methods: Eighty pregnant women undergoing cesarean sections with continuous epidural anesthesia were randomly divided into test group ( n =40) and control group ( n =40). The patients in control group received normal saline 0.4mg/kg with intravenous drip and the patients in test group received ketamine 0.4mg/kg with intravenous drip respectively before operation. The pregnant women's hypotension, not good block, apgar scores and SpO 2 were compared separately between the two groups. Results: The incidence rate of hypotension and not good block were 0 and 5% respectively in test group. And they were lower 30% and 50% respectively than those in control group ( P <0.05). The incidence rates of apgar scores and SpO 2 in the two groups were no significant difference ( P >0.05). Conclusion:A low dose ketamine used in anesthesia for cesarean section is feasible.\;
出处
《现代中西医结合杂志》
CAS
2002年第10期891-892,共2页
Modern Journal of Integrated Traditional Chinese and Western Medicine
关键词
阈下剂量
氯胺酮
剖宫产
麻醉
a low dose ketamine anesthesia for cesarean section
