Abstract:Objective To compare the effect of Dexmedetomidine and DF mixture(pethidine and droperidol mixture)and prevent adverse reactions caused by carboprost during cesarean section.Methods 60 parturients scheduled for lower-uterine cesarean section under lumbar epidural anesthesia were randomly divided into a Dexmedetomidine group(D group)and DF mixture group(DF group),which received 0.5μg/kg Dexmedetomidine or DF mixture(pethidine 50mg+ droperidol 2.5 mg)respectively after delivery and 2 min before administration of Carboprost.Nausea,vomiting,dyspnea,facial flushing,and cardiovascular adverse events after administration of Carboprost,and OAA/S score of the mother before Carboprost administration(T0),10 min after Carboprost administration(T1),and right after surgery(T2)were recorded.Results Incidence of nausea,vomiting,dyspnea,and facial flushing showed no significant difference between the two groups(P>0.05).Incidence of hypertension in the D group was significantly higher than that in DP group(P<0.05).Incidence of tachycardia in DP group was significantly lower that in D group(P<0.05).OAA/S score of the patients at T0 and T1 showed no significant difference between the two groups.But at T2,OAA/S score in D group was significantly higher than that in DP group(P<0.05).Conclusion Pre-administration of low-dose Dexmedetomidine(0.5μg/kg)or half-dose DF mixture before Carboprost administration during cesarean section can significantly reduce the incidence of adverse reactions of the gastrointestinal and cardiovascular system evoked by Carboprost.