研究阈下剂量氯胺酮全凭静脉麻醉用于剖宫产手术对新生儿全身氧摄取率的影响  

Influence of subthreshold dose of ketamine in total intravenous anesthesia of cesarean section for oxygen uptake rate of the whole body of the newborn

作　　者：魏宇 Wei Yu(The First Affiliated Hospital of Jinzhou Medical University(Liaoning Province)121000)

机构地区：[1]锦州医科大学附属第一医院,辽宁省121000

出　　处：《中国社区医师》2018年第10期23-24,共2页Chinese Community Doctors

摘　　要：目的:探讨阈下剂量氯胺酮全凭静脉麻醉用于剖宫产手术对新生儿全身氧摄取率的影响。方法:收治剖宫产孕妇88例,随机分为对照组和观察组。对照组采用连续硬膜外麻醉,观察组采用氯胺酮全凭静脉麻醉,比较两组麻醉效果。结果:两组新生儿全身氧摄取率和新生儿娩出5 min的Apgar评分比较,差异无统计学意义(P>0.05);观察氯胺酮对脐动脉血和静脉血的血气分析影响,同时与对照组进行比较,差异无统计学意义(P>0.05)。结论:剖宫产手术前应用阈下剂量氯胺酮全凭静脉麻醉并不会影响新生儿全身氧摄取率和Apgar评分。Objective:To explore the influence of subthreshold dose of ketamine in total intravenous anesthesia of cesarean section for oxygen uptake rate of the whole body of the newborn.Methods:88 cases of pregnant woman with cesarean section were selected.They were randomly divided into the control group and the observation group.The control group was given continuous epidural anesthesia.The observation group was given ketamine total intravenous anesthesia.We compared the anesthetic effects of two groups.Results:There was no significant difference in oxygen uptake rate of the whole body of the newborn and new Apgar scores at 5 minutes between the two groups(P>0.05).We observed the effect of ketamine on the blood gas analysis of umbilical artery and venous blood,at the same time,compared with the control group,the difference was not statistically significant(P>0.05).Conclusion:Before cesarean section,the application of subthreshold dose of ketamine in total intravenous anesthesia did not affect the total oxygen uptake rate and Apgar score of the newborn.

关 键 词：阈下剂量 氯胺酮 全凭静脉麻醉 连续硬膜外麻醉 剖宫产 

分 类 号：R614[医药卫生—麻醉学]