全身麻醉与椎管内麻醉对前置胎盘剖宫产术中产妇与胎儿的影响分析  

Analysis of the effects of general anesthesia and intraspinal anesthesia on mother and fetus during cesarean section in placenta previa

作　　者：欧阳辉旺[1] OUYANG Hui-wang(Foshan Maternal and Child Health Hospital,Foshan 528000,China)

机构地区：[1]广东省佛山市妇幼保健院,528000

出　　处：《中国实用医药》2021年第31期57-59,共3页China Practical Medicine

摘　　要：目的 分析全身麻醉与椎管内麻醉对前置胎盘剖宫产术中产妇与胎儿的影响。方法 60例前置胎盘剖宫产产妇,随机分为A组和B组,各30例。A组进行全身麻醉,B组进行椎管内麻醉。比较两组产妇麻醉情况及胎儿情况。结果 A组产妇氧分压(PaO2)(51.36±5.71)mm Hg(1 mm Hg=0.133 kPa)和心率(87.54±6.91)次/min均优于B组的(48.29±5.62)mm Hg、(79.32±5.73)次/min,输液量(1896.52±114.93)ml、出血量(1943.51±325.81)ml均多于B组的(1128.63±107.42)、(968.74±274.39)ml,手术时间(129.95±10.32)min长于B组的(106.51±9.04)min,差异有统计学意义(P<0.05)。两组胎儿断脐时间、脐动脉pH值、二氧化碳分压(PaCO2)、PaO2及1、5 min Apgar评分比较,差异无统计学意义(P>0.05)。结论 全身麻醉能为前置胎盘剖宫产术提供更好的麻醉支持,但手术也应根据实际情况选择适合的麻醉方式,实时保护产妇和胎儿,保障麻醉效力,减少对产妇和胎儿的负面影响。Objective To analyze the effects of general anesthesia and intraspinal anesthesia on mother and fetus during cesarean section in placenta previa.Methods A total of 60 parturients with placenta previa undergoing cesarean section were randomly divided into group A and group B,with 30 cases in each group.Group A received general anesthesia,and group B received intraspinal anesthesia.The maternal anesthesia and fetal status of the two groups were compared.Results The arterial partial pressure of oxygen(PaO2)(51.36±5.71)mm Hg(1 mm Hg=0.133 kPa)and heart rate(87.54±6.91)beats/min of mothers in group A were better than(48.29±5.62)mm Hg,(79.32±5.73)beats/min in group B;the infusion volume(1896.52±114.93)ml and blood loss(1943.51±325.81)ml in group A were more than(1128.63±107.42)and(968.74±274.39)ml in group B;the operation time(129.95±10.32)min in group A was longer than(106.51±9.04)min in group B;all the differences were statistically significant(P<0.05).The differences in the time of umbilical cord rupture,pH value of umbilical artery,arterial partial pressure of carbon dioxide(PaCO2),PaO2 and 1-min and 5-min Apgar score of fetus between the two groups were not statistically significant(P>0.05).Conclusion General anesthesia can provide better anesthetic support for placenta praevia in cesarean section,but the operation should also be based on the actual situation to choose the appropriate anesthesia,protect the mother and fetus in real time,safeguard the effectiveness of anesthesia,and reduce the negative impact on the mother and fetus.

关 键 词：全身麻醉 椎管内麻醉 前置胎盘 剖宫产 

分 类 号：R614[医药卫生—麻醉学]