瑞芬太尼复合丙泊酚全身麻醉用于剖宫产术对母婴的影响

目的 探讨瑞芬太尼复合丙泊酚用于剖宫产术对母婴的影响。方法 选择38例足月行剖宫产的产妇，ASAI-Ⅱ级，随机分成两组：A组（瑞芬太尼复合丙泊酚全身麻醉）和B组（腰硬联合麻醉），每组各20例。观察新生儿的脐动脉血气、Apgar评分和产妇的血流动力学变化。结果 两组新生儿的Apgar评分、脐动脉血气比较差异无统计学意义（P〉0．05）；A组产妇术中MAP和HR与基础值相比差异无统计学意义（P〉0．05）；B组产妇术中MAP和HR与基础值比较差异有统计学意义（P〈0．05）；两组产妇在切皮时和胎儿娩出时MAP和HR比较差异有统计学意义（P〈0．05）。结论 瑞芬太尼复合丙泊酚全麻用于剖宫产术是可行的，能有效维持母体血流动力学的稳定，对新生儿无明显影响。

Effects of General Aesthesia Induced by Propofolum and Remifentanil for Cesarean Section on Infants

Objective To determine the safety of general anesthesia induced by propofolum and Remifentanil during cesarean section for neonates. Methods Singleton pregnantwomen forwhom elective cesarean sections were planned after 37 gestation weekswere allocated to general anesthesia （group A）or intraspinal anesthesia （group B）. General anesthesiawas induced with Remifentanil（l.0μg/kg）, propofbl （2.0mg/kg）followed by tracheal intubation. We studied arterial samples with drawn from the infants afterbirth for the pH,PaO2, PaCO2,and Apgar score. Results The pH,PaO2,PaCO2,and Apgar score were no difference during the anesthesia between two groups. Conclusion The study suggests that general anesthesia for the elective cesarean section does not influence significantly the outcome of the newborn infants.