瑞芬太尼在产科全麻中的临床应用

目的:观察瑞芬太尼应用于剖宫产全麻时对产妇及新生儿的影响。方法:足月妊娠剖宫产30例,分为瑞芬太尼全麻组15例(R组)和对照全麻组15例(C组),观察母体的血流动力学变化及苏醒时间,及胎儿娩出后的Apgar评分。结果:两组麻醉过程血流动力学参数、苏醒时间有显著差异(P<0.015);新生儿Apgar评分无显著性差异(P>0.015)。结论:瑞芬太尼用于产科全麻诱导平稳,苏醒迅速,对新生儿无明显副作用。

Application of Remifentanil in General Anesthesiain in Cesarean Section

Objective: Observing the effect of general anesthesia(GA) with remifentanil on parturients undergoing cesarean section and Apgar score of newborn.Method:30 parturients were divided into two groups,one combined remifentanil(group R,n=15)and the other standard(group C,n=15).Observe the change of hemodynamics parameter and the recovery time and Apgar score of newborn.Result: There were significant difference of hemodynamics parameter and the recovery time in the both groups(P<0.015) and no significant difference of score of child between the groups(P>0.015).Conclusion:When remifentanil is used in the general anesthesiain in cesarean section,its inducing is smoothly,the recovery is quickly,it is no significant bad effect on the newborn.