| 瑞芬太尼全麻在二次剖宫产术中的临床应用 |
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| 引用本文： | 洪蕾,张琳玲,张楠.瑞芬太尼全麻在二次剖宫产术中的临床应用[J].当代医学,2019,25(14):44-46. |
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| 作者姓名： | 洪蕾 张琳玲 张楠 |
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| 作者单位： | 上海市松江区妇幼保健院麻醉科,上海,201620;上海市松江区妇幼保健院妇产科,上海,201620 |
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| 摘 要： | 目的观察瑞芬太尼全麻在二次剖宫产术中的应用。方法选择60例二次剖宫产的产妇,分为两组:瑞芬太尼组(Ⅰ组)、常规全麻组(Ⅱ组),每组30例。记录两组麻醉前(T0)、切皮(T1)、胎儿娩出(T2)、出室(T3)的血流动力学变化,记录麻醉诱导到切皮(I-P)、切皮至子宫切开(P-U)、麻醉诱导到胎儿娩出(I-D)、子宫切开到胎儿娩出(U-D),记录两组新生儿娩出后1、5、10 min的Apgar评分,以及即刻脐动脉的血气分析以及两组产妇发生低血压、心动过缓、新生儿需要加压给氧和气管插管的例数。结果两组产妇在T1、T2时点的血流动力学比较差异具有统计学意义(P<0.05),与T0相比,Ⅱ组在T1、T2时点的SBP、DBP、MAP和HR差异具有统计学意义(P<0.05)。两组新生儿的Apgar评分,脐动脉的血气分析、新生儿加压给氧的例数和气管插管的例数、产妇发生低血压和心动过缓的例数比较差异无统计学意义。结论瑞芬太尼全麻可安全用于二次剖宫产的手术,且对产妇和新生儿无不良影响,值得在临床上推广。
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| 关 键 词： | 瑞芬太尼 二次剖宫产 血气分析 |
The clinical application of remifentanil general anesthesia in the secondary cesarean section |
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| Hong Lei,Zhang Linling,Zhang Nan.The clinical application of remifentanil general anesthesia in the secondary cesarean section[J].Contemporary Medicine,2019,25(14):44-46. |
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| Authors: | Hong Lei Zhang Linling Zhang Nan |
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| Institution: | (Department of Anesthesiology, Shanghai Songjiang District Maternal and Child Health Hospital, Shanghai, 201620, China;Department of Obstetrics and Gynecology, Shanghai Songjiang District Maternal and Child Health Hospital, Shanghai,201620, China) |
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| Abstract: | Hong Lei;Zhang Linling;Zhang Nan(Department of Anesthesiology, Shanghai Songjiang District Maternal and Child Health Hospital, Shanghai, 201620, China;Department of Obstetrics and Gynecology, Shanghai Songjiang District Maternal and Child Health Hospital, Shanghai,201620, China) |
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| Keywords: | Remifentanil Secondary cesarean cection Blood gas analysis |
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