摘要
目的通过对静吸复合麻醉与全凭静脉麻醉的比较,探讨剖宫产术中采用全身麻醉的临床效果。方法随机抽取在本院进行剖宫产的67例产妇,分为静吸复合麻醉组(B组33例)与全凭静脉麻醉组(A组34例),比较两组产妇术前术后的麻醉效果、并发症、不良反应及对婴儿呼吸循环的影响等。结果静吸复合麻醉组的苏醒时间明显长于全凭静脉麻醉组(P<0.01),术后躁动、恶心、呕吐的发生率也高于全凭静脉麻醉组(P<0.01)。两组患者对呼吸循环的影响差异无统计学意义(P>0.05),两组麻醉诱导至胎儿娩出时间及新生儿呼吸循环无明显差异。结论剖宫产术中采用全凭静脉麻醉效果好,对血流动力学的影响小,副作用小,而且可以保证新生儿安全,值得临床推广。
Objective To discuss the clinical effect of the application of general anesthesia in the cesarean section,through the comparison of combined intravenous and inhalation anesthesia and total intravenous anesthesia.Methods Sixty seven cases of lying-in women taking cesarean section in our hospital were randomly selected and divided into combined intravenous and inhalation anesthesia group（group B,n = 33） and total intravenous anesthesia group（group A,n = 34）.The anesthetic effects,complications,adverse reactions and the impacts on respiration and circulation of infant were compared between the two groups before and after the operation.Results The recovery time of group B was significantly longer than that of group A（P 0.01）,and the occurrence rates of postoperative restlessness,nausea and vomiting were also higher than group A（P 0.01）.There was no significant difference of the impact on respiratory and circulatory between the two groups（P 0.05）.The difference of the time from anesthesia induction to delivery of the fetus and newborn respiratory cycle between the two groups,there was no significant.Conclusion The effect of total intravenous anesthesia used in the cesarean section is good,with fewer impacts to the hemodynamic,and the side effect is small,it can also ensure the safety of newborn,worthy of clinical application.
出处
《中国当代医药》
2012年第3期85-86,共2页
China Modern Medicine
关键词
剖宫产
静吸复合麻醉
全凭静脉麻醉
临床效果
Cesarean section
Intravenous inhalational anesthesia
Total intravenous anesthesia
Clinical effect
