瑞芬太尼联合丙泊酚用于剖宫产全麻的临床效果分析.docVIP

精品论文 参考文献 瑞芬太尼联合丙泊酚用于剖宫产全麻的临床效果分析 四川省西昌市妇幼保健计划生育服务中心 四川 西昌 615000； 　　2.四川省西昌市人民医院 四川 西昌 615000） 　　【摘要】目的：分析瑞芬太尼联合丙泊酚用于剖宫产全麻的临床效果。方法：将我院收治的96例剖宫产产妇作为研究对象，50例腰麻硬膜外联合麻醉的产妇作为对照组，另50例全麻（瑞芬太尼联合丙泊酚的产妇为观察组，比较两组产妇新生儿Apgar评分、产妇的平均出血量、产妇不同时刻的血流动力学情况以及产妇和新生儿的动脉血气分析结果。结果：两组新生儿出生1min和5minApgar评分,两组产妇、新生儿的动脉血气分析结果，两组产妇在术前和手术结束时的MAP和HR无显著的统计学差异，P＞0.05；对照组在切皮时的HR、MAP及胎儿娩出时的MAP均低于观察组，P＜0.05。结论：在剖宫产手术中予以瑞芬太尼联合丙泊酚的全麻方式，能够更好的维持产妇的血流动力学的稳定。 　　【关键词】全麻；剖宫产；瑞芬太尼；丙泊酚 　　Rui joint fentanyl propofol analysis of the clinical effect of general anesthesia for cesarean delivery 　　Xie Zhiming1,Ye Zhili 　　(1.Xichang maternal and child health care of family planning service center,Xichang 615000 China;2.Xichang peoples hospital ,Xichang 615000 China) 　　【abstract】objective:Analysis, joint fentanyl propofol the clinical effect of general anesthesia for cesarean delivery.Methods:To our hospital 96 cases of cesarean section as the research object, maternal 50 cases with lumbar hemp epidural anesthesia of maternal as control group, the other 50 cases of general anesthesia (rui joint fentanyl propofol maternal as observation group, compared two groups of maternal newborn Apgar score, the average blood loss, maternal maternal hemodynamic condition of different time and maternal and neonatal arterial blood gas analysis results.Results:Two groups of birth min 1 and 5 minapgar score, two groups of maternal and neonatal arterial blood gas analysis, two groups of women in the preoperative and surgery at the end of the MAP and HR no statistically significant difference, Pgt;0.05; The control group in HR, MAP, and when cut a skin fetal childbirth when the MAP is lower than the observation group, Plt; 0.05).Coclusions: In cesarean section surgery r joint fentanyl propofol general anesthesia, can better maintain the maternal hemodynamic stability. 　　【key words】General anesthesia；Cesarean section； Fentanyl；propofol 　　产科剖宫产术麻醉方法的选择是以不抑制宫缩、保证产妇安全、对新生儿无影响为基本原则。在剖宫产手术中椎管内麻醉（包括蛛网膜下腔阻滞麻醉,以下简称腰麻；硬膜外阻滞麻醉，以下简称硬膜外麻醉）是最常见