全身麻醉和腰麻在择期剖宫产手术中应用的对比研究  

Comparison of the effects of spinal and general anesthesia for elective cesarean delivery

作　　者：崔晓岗[1] 李华[2] 张义长[2] 

机构地区：[1]西安市中心医院麻醉科,西安710004 [2]西安交通大学医学院第一附属医院麻醉科

出　　处：《陕西医学杂志》2009年第10期1309-1311,共3页Shaanxi Medical Journal

摘　　要：目的:探讨全身麻醉和腰麻对择期剖宫产手术母婴安全的影响。方法:对247例择期剖宫产手术全麻和腰麻的资料进行回顾性分析,根据麻醉方式分为全身麻醉组(n=135)和腰麻组(n=112),比较术中平均动脉压波动的最低峰值、新生儿Apgar评分、麻黄素用量等指标。结果:平均动脉压的最低峰值腰麻组低于全麻组(P<0.05),麻黄素的应用比例及用量大于全麻组(P<0.01)。Apgar评分两组相比,差别无统计学意义(P>0.05)。结论:虽然全身麻醉和腰麻均可用于择期剖宫产手术,但对于非急诊剖宫产患者,宜首选椎管内麻醉。Objective： To discuss the safety of spinal and regular doses general anesthesia for cesarean delivery in Elective Cesarean Delivery women. Methods： 247 women were divided into general anesthesia group（n=135） and spinal group（n=112）. The lowest Mean arterial blood pressure （MAP）,Apgar scores at 1 min and 5 min,amount of total ephedrine were recorded. Results ：The lowest MAP during delivery period was significantly less in the spinal group than in the general group（P〈0. 05）. There was more use of ephedrine in the spinal group than in the general group （P〈0.01）. Apgar scores were similar in both groups, no significant difference was found between two groups （P〉0. 05）. Conclusion： Both general and spinal anesthesia can be used for elective cesarean delivery ,however, intraspinal anesthesia is better selection for nonemergency puerpera.

关 键 词：剖宫产术 麻醉 全身 麻醉 脊椎 对比研究 

分 类 号：R719.8[医药卫生—妇产科学] R614.2[医药卫生—临床医学]