【摘要】 目的:探讨小剂量氯胺酮静脉麻醉应用于剖宫术的临床效果。方法:60例剖宫术患者分为两组,氯胺酮组30例,手术切皮前5min静注氯胺酮0.7mg/kg,面罩给氧,呼之不应时开始手术。30例硬膜外组,按常规硬膜外麻醉实施。结果:两组麻醉效果,治疗期间的血压、心率、呼吸、血氧饱和度与术前比较无显著差异(P>0.05)。结论:小剂量氯胺酮静脉麻醉用于剖宫术是安全有效的,对母体、新生儿呼吸循环影响小,但副反应仍存在,需进一步观察和探讨。更多还原

【Abstract】 Objective: To determine the aneasthesia effect of Ketamine at a little dose in D & C.Method: 60 cases which must be undergone D & C were divided into two groups: A and B. Group A (30 cases) was intravenously infused Ketamine at 0.7mg/kg in 5 minutes before operation, covered with a oxygen mask on the face. The operation would not began until the Patient lost consciousness. Group B (30 cases) was aneasthtized epidurally Results: There were no remarkable difference ( P >0.05) in BP HR, R, sPO2 between the two groups in the course of treatment. Conclusion: The intravenous infusion of Ketamine is safe and effective in D & C, and it exertes litte influence to respiration and blood circulation of mather and newborn, but it has still a little side effect.更多还原