剖宫产全麻安全性探讨

目的探讨全麻在剖宫产手术中对母婴的安全性及可行性。方法回顾分析了本院近3年的剖宫产全麻病例，及同时段随机抽取的相同份数资料完整的椎管内麻醉病例各50例。分成A、B两组。A组为椎管内麻醉，B组为全麻，对比分析两组麻醉方式对产妇术中安全、术后不良反应，以及新生儿取出时间及取出后1、2、5、10min的Apgar评分。结果A、B两组产妇术中生命体征及术后不良反应发生牢无统计学意义，婴儿Apgar评分1min和2min B组低于A组（P〈0．05），2min以后两组差异无统计学意义。结论剖腹产全麻对产妇是安全的，对婴儿最终结果是安全的，但要注意婴儿娩出初期的复苏和全麻药的选择。

Discussion on the Safety of General Anesthesia for CesareanSection

Objective To discuss security and feasibility of the mother and the baby in General anesthesia of cesarean section.Methods Analyze general anesthesia cases of cesarean section of my hospital in the last three years,and then pick out 50 cases for general anesthesia and intravertebral anesthesia.Divided them into group A and group B.Group A was intravertebral anesthesia,group B was general anesthesia.Compared with safety,postoperative side effect,and Apgar Scores of new-born baby after it's birth in 1,2,5 and 10 minutes.Results There is no statistical significance in vital signs of operation and postoperative side effect.Apgar Scores of 1minute and 2minutes in group B were lower than those in group A(P＜0.05).Conclusion General anesthesia of cesarean section is safe to the parturient and the baby.but we must pay attention to the baby's recovery in the delivery and the choice of general anesthesia.