摘要
目的观察瑞芬太尼联合丙泊酚全麻对足月妊娠孕妇行剖宫产术血流动力学及脐动脉血气指标的影响。方法选取2015年3月~2016年7月我院行剖宫产足月妊娠孕妇92例,采用随机数表法分组,各46例。对照组予以硬腰联合麻醉,观察组予以瑞芬太尼联合丙泊酚全麻。对比两组产妇血流动力学[心率(HR)、平均动脉压(MAP)]及新生儿脐动脉血气指标[pH值、血氧分压(PaO_2)、红细胞比容(Hct)]。结果插管前两组HR、MAP对比,差异无统计学意义(P>0.05),插管时、切皮时、拔管时观察组HR、MAP均低于对照组,差异有统计学意义(P<0.05);两组新生儿脐动脉pH值、Hct、PaO_2对比,差异无统计学意义(P>0.05)。结论予以行剖宫产术足月妊娠孕妇瑞芬太尼联合丙泊酚全麻,可改善孕妇血流动力学,且对新生儿无较大影响。
Objective To observe the effect of remifentanil combined with propofol anesthesia on hemodynamics and umbilical artery blood gas index in cesarean section of full-term pregnant women.Methods From March 2015 to July 2016 in our hospital cesarean section,92 cases of full-term pregnant women were randomly grouped,with 46 cases in each group.The control group was treated by hard lumbar combined anesthesia,and the observation group was given remifentanil and propofol anesthesia.The hemodynamics(heart rate(HR),mean arterial pressure(MAP)),umbilical artery blood gas index,[pH value,PaO2 and hematocrit(Hct)of the two groups were compared.Results Before intubation HR,MAP comparison,the difference between the 2groups was not statistically significant(P>0.05);during intubation,skin incision extubation were observed in group HR and MAP lower than the control group,and the difference was statistically significant(P<0.05);the two groups of neonatal umbilical artery pH,Hct,PaO2 comparison are not difference statistically significant(P>0.05).Conclusion Cesarean section,full-term pregnancy,remifentanil combined with propofol anesthesia can improve the hemodynamics of pregnant women,and have no significant impact on the newborn.
作者
应红梅
YING Hong-mei(Department of Anesthesiology,Gushi maternal and child health care hospital,Gushi,Henan,465200,China)
出处
《临床研究》
2018年第2期37-38,共2页
Clinical Research
关键词
瑞芬太尼
丙泊酚
全麻
剖宫产
reventa ni
propofol
general anesthesia
cesarean section
