首页 | 本学科首页   官方微博 | 高级检索  
检索        

84例全麻剖宫产分析
引用本文:刘新伟,Megea Pole.84例全麻剖宫产分析[J].重庆医科大学学报,2005,30(4):612-614.
作者姓名:刘新伟  Megea Pole
作者单位:1. 重庆医科大学附属第一医院麻醉科,重庆,400016
2. 巴布亚新几内亚莫尔兹比港总医院麻醉科
摘    要:目的:分析全麻下剖宫产不同分娩时间,急诊/择期和正常体重/低体重新生儿与Apgar评分的关系以及产妇术中知晓的发生率.方法:84例妊娠36周以上临产妇.根据麻醉诱导至胎儿娩出<10min或≥10min;切开子宫至胎儿娩出<3min或≥3min;急诊或择期;低体重或正常体重(<2.5kg或≥2.5kg)分别分组,比较各对应组新生儿Apgar1,5min评分.麻醉诱导用硫喷妥钠与司可林;麻醉维持用N2O,氟烷,潘库溴铵或阿屈库铵.胎儿娩出后静注吗啡或芬太尼.结果:Apgar 1min与5min评分在麻醉诱导至胎儿娩出小于10min组,切开子宫至胎儿娩出小于3min组,择期组均较其对应组高,(P>0.05);低体重新生儿组Apgar 1min与5min评分较正常体重组明显低(P<0.05).术中知晓的发生率为10.71%.结论:全麻下胎儿分娩时间越短越好.术前母婴状态将直接影响其新生儿Apgar评分.全麻下剖宫产低体重新生儿易于出现Apgar评分低.

关 键 词:剖宫产  全身麻醉  新生儿评分
文章编号:0253-3626(2005)04-0612-03
收稿时间:11 4 2004 12:00AM
修稿时间:2004年11月4日

Analysis of 84 cesarean section cases with general anesthesia
LIU Xinwei,Megea Pole.Analysis of 84 cesarean section cases with general anesthesia[J].Journal of Chongqing Medical University,2005,30(4):612-614.
Authors:LIU Xinwei  Megea Pole
Abstract:Objective:To analyze the influence of different delivery interval,emergency/elective operations,normal/low birth weight infants on their Apgar scores in cesarean section with general anesthesia and intra-operative awareness.Methods:84 pregnant women over 36 week in labor were divided into the contracted groups according to anesthesia induction to delivery interval (ID) lower or over 10 min,incision uterine to delivery interval (UD) lower or over 3 min,emergency or elective cases,and infants weight lower 2.5kg or equal and over 2.5kg.Anesthesia was induced with thiopental,succinylcholine and maintained with N_2O,Halothane and pancuronium or atracurium.Morphine or fentanyl bolus injected intravenously after delivery.Results:There were better Apgar scores (P>0.05) observed in short delivery time in induction-delivery (ID<10min) and incision uterine-delivery (UD<3min).The elective group showed better Apgar scores (P>0.05) than the emergency group.There were significant (P<0.05) differences observed in Apgar scores between low birth weight group and normal weight baby group.Intra-operative awareness was 10.71% in patients.Conclusion:The shorter the delivery interval the higher the Apgar scores.The pre-operative maternal and foetal status will directly affect infants Apgar scores.Infants with lower weight delivered cesarean section under general anesthesia easily present lower Apgar scores.
Keywords:Cesarean section  General anesthesia  Apgar scores
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号