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盐酸戊乙奎醚在急诊剖宫产术中的效果观察
引用本文:杨第一,刘国良.盐酸戊乙奎醚在急诊剖宫产术中的效果观察[J].检验医学与临床,2010,7(6):524-525.
作者姓名:杨第一  刘国良
作者单位:广东省东莞市茶山医院麻醉科,523382
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。

关 键 词:盐酸戊乙奎醚  急诊剖宫产术  效果观察

Effective evaluation of penehyclidine hydrochlorid in emergency cesarean section
YANG Diyi,LIU Guo-liang.Effective evaluation of penehyclidine hydrochlorid in emergency cesarean section[J].Laboratory Medicine and Clinic,2010,7(6):524-525.
Authors:YANG Diyi  LIU Guo-liang
Institution:YANG Di-yi,LIU Guo-liang.Cha-Shan Hospital,Dongguan City,Guangdong 523382,China
Abstract: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.
Keywords:penehyclidine hydrochlorid  cesarean section  effective evaluation  
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