Clinical Observation of Tramadol and Metoclopramide in Treatment of Shivering During Cesarean Section

Objective To observe treatment effect and adverse reactions of using tramadol and metoclopramide to treat shivering in cesarean section.Methods One hundred ASA I~II parturient patients,who were undergoing elective cesarean section,were included in the study.They were randomly assigned to one of two groups – Group T and Group MT.Group T receives 1mg/kg tramadol iv after delivery.Group MT receives 10mg metoclopramide iv followed by 1mg/kg tramadol iv.Monitor scale of shivering,incidence of nausea and vomiting,dizziness,respiratory depression and incidence of extrapyramidal reactions.Results 97% remission rate and 82% cure rate of shivering was observed after tramadol was given.Group T showed 70% incidence of nausea and vomiting.Group MT showed 86% less incidence of nausea and vomiting compared to Group T.Conclusion 1mg/kg tramadol is effective in preventing and treating shivering in cesarean section.Metoclopramide is effective in reducing nausea and vomiting caused by tramadol.