摘要
目的探讨全身麻醉在高龄妊娠产妇剖宫产中的应用价值。方法采用随机数字表法将2016年2月至2017年1月该院收治的拟行剖宫产术的66例高龄妊娠产妇分为全身麻醉组和连续硬膜外麻醉组,每组33例。比较两组产妇麻醉前,麻醉诱导后,气管插管或硬膜外给药后1、5 min时收缩压(SBP)、舒张压(DBP)、心率(HR)及脉搏血氧饱和度(SpO_2)的变化,以及麻醉开始至胎儿娩出时间、新生儿Apgar评分等。结果全身麻醉组产妇硬膜外给药后1 min时SBP明显高于麻醉前,HR明显快于麻醉前;连续硬膜外麻醉组产妇气管插管后1 min时血压明显低于麻醉前,HR明显慢于麻醉前,全身麻醉组产妇胎儿娩出时间明显短于连续硬膜外麻醉组,差异均有统计学意义(P<0.05);两组产妇各时间点SpO_2比较,差异均无统计学意义(P>0.05);两组新生儿1、5、10 min时Apgar评分比较,差异均无统计学意义(P>0.05)。结论全身麻醉对高龄妊娠产妇及胎儿各项指标均无明显影响。
Objective To investigate the application value of general anesthesia in caesarean section of advanced age pregnant women. Methods Sixty-six cases of advanced age puerpera undergoing cesarean section in our hospital from February 2016 to January 2017 were randomly divided into the general anesthesia group and continuous epidural anesthesia group according to the random number table method,33 cases per group. The systolic blood pressure（SBP）,diastolic blood pressure（DBP）,heart rate（HR） and pulse oxygen saturation（SpO_2） before anesthesia,after anesthesia induction,at 1,5 min after trachea cannula or epidural drug administration,time from anesthesia beginning to fetal delivery and neonatal Apgar score were compared between the two groups. Results SBP at 1 min after epidural drug administration in the general anesthesia group was significantly higher than before anesthesia,and HR was significantly faster than before anesthesia（P〈0.05）. BP at 1 min after trachea cannula in the continuous epidural anesthesia group was significantly lower than that before anesthesia and HR was significantly slower than that before anesthesia,the fetal delivery time in the general anesthesia group was significantly shorter than that in the continuous epidural anesthesia group,the differences were statistically significant（P〈0.05）. SpO_2 at different time points had no statistical difference between the two groups（P〈0.05）. The neonatal Apgar score at 1,5,10 min had no statistical difference between the two groups（P〈0.05）.Conclusion The general anesthesia has no obvious influence on various indicators in advanced age puerpera and fetus.
出处
《现代医药卫生》
2017年第19期2909-2911,共3页
Journal of Modern Medicine & Health
关键词
年龄因素
妊娠
麻醉
全身
剖宫产术
Age factors
Pregnancy
Anesthesia
general
Cesarean section
