摘要
目的:比较喉罩通气下吸入七氟醚全身麻醉与硬膜外麻醉在剖宫产中的应用效果。方法:回顾性分析306例剖宫产产妇的临床资料,比较喉罩通气下吸入七氟醚全身麻醉(n=30)与硬膜外麻醉(n=35)两组,在产妇术后肠道功能恢复时间,开始哺乳的时间,新生儿神经行为评分,新生儿Apgar评分,新生儿脐动脉血气分析等指标上的差异。结果:两组产妇术后肠道功能恢复时间及开始哺乳时间差异无统计学意义;两组新生儿在神经行为评分,新生儿Apgar评分,新生儿脐动脉血气分析等指标上差异亦无统计学意义,且各项指标均值都在正常范围内。结论:与硬膜外麻醉相比,喉罩通气下吸入七氟醚全麻在影响新生儿呼吸生理功能及产妇术后恢复上并无显著性差异,可安全用于剖宫产手术。
Objective：The retrospective study was aimed at comparison of lm＇yngeal mask ventilation Sevoflurane inhalational anesthesia and Caudalanaesthesia in cesarean section. Methods：Clinical data of 306 patients underwent cesarean section was retrospectively analyzed. Postoperative complications and recovery lactation time of puerperas in Sevoflurane general anesthesia group （n=30） and caudalanaesthesia group （n=35）were analysed and neonatal be- havioral neurological assessment （NBNA）, Apgar score and arterial blood gas analysis （ABG） in neonates were also compared.Results：A total of 65 patients were analysed, postoperative complications and recovery lactation time of puerperas in Sevoflurane inhalational general anesthesia group and eaudalanaesthesia group had no statistical dif- ference and there were no statistical difference in neonatal behavioral neurological assessment, Apgar score and arte- rial blood gas analysis in two the groups. Conclusion：Laryngeal mask in Sevoflurane inhalational general anesthesia is safe for cesarean section,with no adverse effects on neonates and puerperas postoperative recovery.
出处
《安徽卫生职业技术学院学报》
2013年第3期30-31,共2页
Journal of Anhui Health Vocational & Technical College
关键词
剖宫产
七氟醚
全身麻醉
硬膜外麻醉
喉罩
并发症
Cesarean section
Sevoflurane
General anesthesia
Caudalanaesthesia
Laryngeal mask
Complication
