摘要
目的探究对妊娠合并血小板减少症产妇在当前椎管内麻醉和全身麻醉的麻醉方式上进行剖宫产术的临床应用价值效果,为以后此类患者的临床方案的制定提供可靠依据。方法选自本院2010年1月至2013年1月收治的血小板计数低于100×109的产妇共有100例,将其分为椎管内麻醉组和全麻组,每组各有患者50例,其中椎管内麻醉组血小板计数每升超过50×109,全麻组患者血小板计数低于50×109。对2组患者的临床资料以回顾性的方法进行分析,了解2种麻醉方法在剖宫产术中的临床指标。结果 2组产妇均顺利完成剖宫产手术。2组产妇术中出血量对比并无统计学意义(P>0.05);新生儿在分娩后1 min进行Apgar评分,椎管内麻醉组患者新生儿发生窒息事件的概率相对于全麻组要低很多,二者对比有统计学意义(P<0.05);新生儿在分娩后5 min进行Apgar评分,2组对比无统计学意义(P>0.05)。结论妊娠合并血小板减少症产妇在应用剖宫产终止妊娠的时候需要结合其具体临床情况,针对性的选择麻醉方式,需要充分的对病情进行估计和做好术前准备,最大程度保障母婴生命健康。
Objective To explore the clinical application effect of thrombocytopenia in pregnancy maternal anesthesia and general anesthesia in the spinal anesthesia for caesarean section,to provide a reliable basis for making future clinical scheme for such patients. Method 100 cases of pregnant women were selected from the hospital,from 2010 January-2013 year in January which the platelet count below 100×10^9. 100 patients were divided into the spinal anesthesia group and general anesthesia group, each group has 50 patients,of which the spinal anesthesia group platelet count per liter of more than 50×10^9, general anesthesia group of platelet count in patients with less than 50×10^9. To analysis the clinical data of 2 patients with retrospective,to understand the clinical indicators 2 anesthesia in cesarean section. Result The 2 groups were successfully completed the caesarean operation.The amount of bleeding compared no significant maternal in 2 groups （P〉0.05）;To make Apgar score on the neonatal after delivery in 1 minutes, the probability of intraspinal anesthesia group of patients with neonatal suffocation events relative to the general anesthesia group was much lower, both have statistical significance（P〈0.05） contrast; To make Apgar score on the neonatal after delivery in 5 minutes, there was no statistical significance between the 2 groups（P〉0.05）. Conclusion The women with thrombocytopenia in pregnancy in the application of cesarean seetion pregnancy termination that need to combine the specific clinical situation, to choose the anesthesia targeted, the need for adequate estimation of the disease and preoperative preparation, protect maternal life and health in the maximum level.
出处
《中国医药指南》
2014年第34期28-29,共2页
Guide of China Medicine
关键词
椎管内麻醉
全身麻醉
妊娠合并血小板减少
剖宫产
Intraspinal anesthesia
General anesthesia
Thrombocytopenia in pregnancy
Cesareatisection
