产房中紧急实施全身麻醉产科手术临床效果与安全性分析.docVIP

产房中紧急实施全身麻醉产科手术临床效果与安全性分析 　　[摘要] 目的 探讨产房中紧急实施全身麻醉产科手术临床效果及安全性。方法 收集2015年2月～2016年12月我院产房试产失败紧急全身麻醉剖宫产患者45例临床资料行回顾性分析，根据患者麻醉地方分为A组（产房中紧急全身麻醉行剖宫产，21例）和B组（手术室紧急全身麻醉行剖宫产，24例），比较两组患者紧急麻醉时间、术中出血量、紧急分娩时间，麻醉前、插管后5min、手术开始、术毕时两组患者平均动脉压（MAP）及新生儿窒息、新生儿死亡、产妇术后躁动、产妇麻醉误吸发生率。结果A组患者紧急麻醉时间、紧急手术时间均短于B组[（3.5±1.0）min vs.（8.7±1.5）min，（15.4±2.9）min vs.（20.4±3.8）min，P0.05）。A组新生儿窒息发生率低于B组（47.62% vs.83.33%，P0.05）。结论 产房中紧急实施全身麻醉产科手术可争取麻醉和手术时间，改善产妇及新生儿预后，并不增加麻醉风险。 　　[关键词] 产房；紧急全身麻醉；麻醉效果；安全性；手术 　　[中图分类号] R614.2 [文献标识码] A [文章编号] 2095-0616（2017）08-106-03 　　[Abstract] Objective To discuss the clinical effect and safety of emergency general anesthesia obstetric operation in delivery room. Methods Clinical data of 45 cases with failed trial of labor and for emergency general anesthesia obstetric operation from February 2015 to December 2017 in hospital were retrospectively analyzed， and all caseds were divided into group A（emergency delivery in the delivery room cesarean section， 21 cases） and group B（operating room emergency general anesthesia cesarean section， 24 cases） according to the place of anesthesia. Emergency anesthesia time， intraoperative blood loss， emergency delivery time， mean arterial pressure（MAP） before anesthesia， after intubation 5min， start of operation， the end of surgery and neonatal asphyxia， neonatal death， postoperative agitation， the incidence of maternal anesthesia of two groups were compared. Results Emergency anesthesia time and emergency delivery time of group A were shorter than those of group[（3.5±1.0）min vs.（8.7±1.5）min，（15.4±2.9）min vs.（20.4±3.8）min， P0.05）. Incidence of neonatal asphyxia of group A was lower than that of group B（47.62% vs.83.33%， P0.05）. Conclusion Emergency general anesthesia obstetric operation in delivery room shorten anesthesia and surgery time， improve maternal and neonatal prognosis， and does not increase the risk of anesthesia. 　　[Key words] Delivery room； Emergency general anesthesia； Anesthesia effect； Safety； Surgery 　　?a房为产妇经阴道分娩