阈下剂量的氯胺酮用于剖宫产术麻醉中的探讨
MODERN JOURNAL OF INTEGRATED TRADITIONAL CHINESE AND WESTERN MEDICINE(2002)
Abstract
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0.4mg/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SpO2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%,25%低(P<0.05);两组新生儿Apgar评分及产妇SpO2则无明显差异(P>0.05).结论:阈下剂量的氯胺酮应用于剖宫产术麻醉是可行的.
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