摘要
目的研究静脉注射小剂量氯胺酮对剖宫产术中寒战的影响。方法剖宫产产妇80例,随机分为A、B两组,均采用连续硬膜外麻醉,手术开始A组(实验组)静脉注射氯胺酮0.25m g/kg,B组(对照组)注射与A组等容积的生理盐水,观察产妇生命体征变化、寒战发生情况及新生儿情况。结果A组发生寒战4例,B组12例,两组比较,差异有统计学意义(2χ=5.000,P=0.025);胎儿取出后1及5分钟A pgar评分无明显差异。结论静脉注射小剂量氯胺酮能降低剖宫产术中寒战的发生率,小剂量氯胺酮对母婴均安全。
Objective To define the effects of small dose of ketamine on shivering during cesarean section. Methods Eighty cases of parturiens undergoing cesarean section were randomly divided into Group A and Group B. All were undertaken continuous epidural anesthesia. Group A was injected 0. 25mg/kg ketamine and Group B, the same dose of saline at the commencement of the operation. MAP, HR, the signs of shivering and fetal state were observed. Results There was significant difference in the occurrence of shivering between the two groups with g cases in Group A and 12 in Group B（X^2=5. 000,P=0. 025）. Apagr score failed to show significant difference at 1 min and 5 min after fetal birth between the two groups. Conclusion Small does of ketamine can reduce shivering during cesarean section without harming parturients and fe tals.
出处
《西部医学》
2006年第3期301-302,共2页
Medical Journal of West China
关键词
寒战
氯胺酮
剖宫产
Ketamine
Shivering
Cesarean section
