剖宫产术前苯巴比妥钠不同用量对新生儿Apgar评分的影响

目的:探讨剖宫产术前苯巴比妥钠不同用量对新生儿Apgar评分的影响。方法:220例行剖宫产术的产妇随机分为两组,A组术前30分钟肌注阿托品0.5g+1mg/kg苯巴比妥钠;B组术前30分钟肌注阿托品0.5mg+2mg/kg苯巴比妥钠。分别于新生儿1min及5min行Apgar评分,观察评分情况。结果:1min新生儿Apgar评分A组分值明显高于B组(P<0.05),5min新生儿Apgar评分A组与B组无统计学差异。结论:苯巴比妥钠作为术前用药,对于母婴是安全的,但考虑到胎儿与新生儿的生理特点,以1mg/kg为宜。

Objective：To study the different dose of phenobarbital to preperation lying - in women effect newborn Apgar score. Methods：220 lying - in women were randomly divided into two groups. A group were intramusclar injection 0.5 mg Atropine and 1 mg/kg phenobarbital before 30min of operation. B group were intramnsclar injection 0.5mg Atropine and 2mg/kg phenobarbital before 30min of operation. In 1min and 5min respectively observe the newborn Apgar score after injection. Resuits：The newborn Apgar score of A group in 1 rain obviously high conpare with B group＇s Apgar score（ P 〈 0. 05）. It was not statistically different with A group and B group in 5min. Conclusion：It was safety to usage phenobarbital before operation for matherand son. It was benefit of usage 1 mg/kg phenobarbital to consider the physiological characteristics of foetus and newborn.