首页 | 本学科首页   官方微博 | 高级检索  
     

小剂量氯胺酮在健忘镇痛麻醉辅助局部麻醉剖宫产中的应用
引用本文:任国玲,齐亚娟. 小剂量氯胺酮在健忘镇痛麻醉辅助局部麻醉剖宫产中的应用[J]. 华西医学, 2010, 0(4): 720-721
作者姓名:任国玲  齐亚娟
作者单位:[1]唐山市丰润区人民医院,河北丰润064000 [2]华北煤炭医学院药理学教研室,河北唐山063000)
摘    要:目的观察小剂量氯胺酮在健忘镇痛麻醉辅助局部麻醉(局麻)剖宫产中的应用。方法选择1200例剖宫产的孕妇,随机分为单纯局麻组(L组)、氟芬强化局麻组(F组)和健忘镇痛麻醉组(J组),每组400例。L组单纯局麻;F组局麻术中辅以氟哌利多5.00mg,芬太尼0.15mg;J组在F组基础上辅以氯胺酮,观察各组患者麻醉诱导至胎儿娩出时间;新生儿1、5minApgar评分;手术中血压相对于基础值的波动情况;手术中及手术后出血情况及麻醉满意度。结果 J组与L组和F组比较,胎儿娩出时间无显著差别;Apgar评分提高;手术中孕妇血压波动不明显;手术中及手术后出血量无明显增加,麻醉满意度明显提高。结论由小剂量氯胺酮辅助实施的健忘镇痛麻醉在局麻剖宫产中优于单纯局麻和氟芬强化局麻,在剖宫产中尤其急诊剖宫产中值得推广。

关 键 词:健忘镇痛  局麻  剖宫产  新生儿Apgar评分

Application of Low-Dose Ketamine during the Local Anesthesia in Cesarean Section Assisted by Analgestic and Amnestic Anesthesia
REN Guo-ling,QI Ya-juan. Application of Low-Dose Ketamine during the Local Anesthesia in Cesarean Section Assisted by Analgestic and Amnestic Anesthesia[J]. West China Medical Journal, 2010, 0(4): 720-721
Authors:REN Guo-ling  QI Ya-juan
Affiliation:1.People's Hospital of Fengrun District,Fengrun,Hebei 064000,P.R.China;2.Deptartment of Pharmacology,North China Coal Medical College,Tangshan,Hebei 063000,P.R.China )
Abstract:Objective To observe the application of low-dose ketamine during the local anesthesia in cesarean section assisted by analgestic and amnestic anesthesia.Methods A total of 1200 cases who need cesarean section were randomly divided into 3 groups(400 cases in each group):simple local anesthesia group(group L),droperidol-fentanyl strengthen local anesthesia group(group F)and analgestic and amnestic anesthesia group(group J).Group L was only local anesthesia.Group F was local anesthesia supplemented by droperidol 5.00 mg,fentanyl 0.15 mg.Group J was supplemented with ketamine on the basis of group F.Then the time from anesthesia to the fetus delivery,Neonatal Apgar score of one and five minutes,the blood pressure fluctuations,amount of bleeding in or after surgery and the satisfaction of anesthesia were all observed.Results Compared with group L and F,the delivery time was no significant difference,Apgar score increased,blood pressure fluctuations in pregnant women was not obviously varied,amount of bleeding in or after surgery had no significantly increase,and the satisfaction of anesthesia improved markedly all in group J.Conclusions The analgestic and amnestic anesthesia assisted by low-dose ketamine,in cesarean section,is better than local anesthesia and strengthen local anesthesia by droperidol-fentanyl,which is worthy to be popularized,especially in emergency caesarean section.
Keywords:Analgestic and amnestic  Local analgesia  Cesarean section  Neonatal Apgar score
本文献已被 维普 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号