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布托啡诺治疗剖宫产术中寒战对新生儿的影响
作者:罗小玲 谢伦雄 李丽萍  
单位:深圳市盐田区人民医院
关键词:布托啡诺 剖宫产术 血气分析 新生儿 
分类号:
出版年·卷·期(页码):2013·41·第九期(634-636)
摘要:

目的:观察布托啡诺治疗剖宫产术中寒战对新生儿的影响。方法:选择剖宫产术中寒战产妇60例,随机数字法分为两组,每组30例,行双盲试验,在胎儿娩出前静脉注射:A组给予布托啡诺0.5mg稀释至5ml,B组给予等容量生理盐水,记录新生儿1 、5 min 的Apgar评分、产后2、12h神经和适应能力评分(NACS)及检测脐动、静脉血气分析(pH、PCO2、PO2、HCO3-)。结果:两组新生儿1、5 min 的Apgar评分、产后2、12h 的NACS及脐动、静脉血气分析(pH、PCO2、PO2、HCO3-)比较无统计学意义。结论:布托啡诺0.5mg治疗剖宫产术中寒战对新生儿无明显抑制。

Objective: To observe the impact to newborns when butorphanol treatment to maternal patients for shivering in cesarean section. Methods: A total of 60 maternal patients chilling in cesarean section, divided into two groups with random number method, 30 patients each group. Then do a double-blind trial, before the baby is delivered intravenously: Group A use butorphanol 0.5mg diluted to 5 ml, Group B use the same volumn normal saline. neonatal 1、5min Apgar scores and postpartum 2、12 hours neonatal neurological and adaptive capacity scores (NACS) were recorded , and do detection for umbilical arterial and venous blood analysis (pH, PCO2, PO2, HCO3-, BE).Results: No matter the comparison of two groups in 1、5 mins of Neonatal Apgar scores, or postpartum 2、12hours NACS and umbilical arterial and venous blood analysis (pH, PCO2, PO2, HCO3-, BE) has no statistically significant. Conclusion: butorphanol 0.5mg treatment for cesarean section chills has no significant inhibition to the newborns.

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