椎管内麻醉与全身麻醉用于妊娠合并血小板减少症产妇剖宫产术的临床观察.docVIP

精品论文 参考文献 椎管内麻醉与全身麻醉用于妊娠合并血小板减少症产妇剖宫产术的临床观察 湖南省常宁市中医医院 湖南常宁 421500 摘要：目的 探究妊娠合并血小板减少症的产妇进行剖宫产术时采用椎管内麻醉与全身麻醉的临床应用效果。方法 选取我院2012年10月—2014年10月收治的血小板计数lt;100times;109的产妇120例，其中血小板计数lt;50times;109的57例为对照组，血小板计数gt;50times;109且lt;100times;109的63例为观察组，对照组给予全身麻醉，观察组给予椎管内麻醉。详细记录两组产妇及新生儿的情况并做统计学比较。结果 对照组和观察组的产妇在手术中的出血量分别为（438.4plusmn;111.2）mL、（476.4plusmn;117.5）mL。分娩结束1min对新生儿进行Apgar评分，对照组无窒息5例，轻度窒息20例，重度窒息32例；观察组无窒息16例，轻度窒息39例，重度窒息8例。分娩结束5min对新生儿进行Apgar评分，对照组无窒息33例，轻度窒息17例，重度窒息7例；观察组无窒息39例，轻度窒息20例，重度窒息4例。结论 妊娠合并血小板减症的产妇采用椎管内麻醉后大大降低了新生儿窒息的发生率，值得在临床上推广应用。 关键词：椎管内麻醉；全身麻醉；血小板减少症；剖宫产术 [Abstract]Objective The effect of clinical application of spinal anesthesia and general anesthesia Objective To explore the pregnancy with thrombocytopenia maternal cesarean section.Methods In our hospital in October 2012- October 2014 were treated platelet count lt;100 times; 109 maternal 120 cases in which the platelet count lt;50 times; 109 57 cases as the control group，platelet countgt; 50 times; 109 and lt;100 times; 63 cases of 109 in the observation group，the control group was given general anesthesia，observation group was given spinal anesthesia.Detailed records of maternal and newborn groups and make statistical comparisons.Results Mothers in the control group and the observation group blood loss during surgery were（438.4 plusmn; 111.2）mL，（476.4 plusmn; 117.5）mL.End delivery 1min Apgar score of newborns in the control group without asphyxia five cases，20 cases of mild asphyxia，severe asphyxia in 32 cases；16 cases of asphyxia observation group，39 cases of mild asphyxia，severe asphyxia in eight cases.Delivery end 5min Apgar score for newborns，asphyxia 33 cases in the control group，17 cases of mild asphyxia，severe asphyxia in 7 cases；39 cases of asphyxia observation group，20 cases of mild asphyxia，severe asphyxia four cases.Conclusion Pregnancy with thrombocytopenia syndrome after maternal use of spinal anesthesia greatly reduces the incidence of neonatal asphyxia，worthy of clinical applica