术前评分制在降低产科麻醉风险的临床研究.docVIP

术前评分制在降低产科麻醉风险的临床研究 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：术前评分制在降低产科麻醉风险的临床研究 1 1 资料与方法 3 2 结果 5 3 讨论 6 文2：彩色多普勒超声早期预测ASO术后再狭窄风险的临床研究 8 1　资料与方法 9 2　结果 11 3　讨论 12 参考文摘引言： 14 原创性声明（模板） 16 文章致谢（模板） 16 正文 术前评分制在降低产科麻醉风险的临床研究 文1：术前评分制在降低产科麻醉风险的临床研究 【Abstract】 Objective :To explore the superiority of preoperative scoring system in reducing the risk of obstetric anesthesia. Methods: We reviewed 6200 parturient who accepted uterine-incision delivery nearly two yea. We got the messages about each vital orga disease severity and compeatory ability of parturient that accepted operation and combined with pregnancy mothe’ pathophysiological rating to give a mark. According to the score, the parturient were divided into 5 levels to correspond with American Standards Association of anesthesiologists’ assessment. We chose suitable anesthetic methods, drug, monitoring system and preventive measures, and done the corresponding preoperative preparation. Results: 2 parturient turned to higher authorities’ hospital in order to treat. 4620 parturient were performed combined spinal epidural anesthesia. Hypoteive patients were given methamphetamine and rapid trafusion to maintain blood pressure. They became muscle relaxation, indolence, and got satisfactory effect of anesthesia. 1424 parturient implemented the epidural anesthesia, including 60 cases performing with auxiliary medicine of ketamine. 300 hyperteion patients executed the epidural anesthesia with two-point puncture catheter iertion. They’ blood pressure fluctuated less than 20% of preoperation, and they got satisfactory effect of anesthesia. 136 parturient accepted the general anesthesia. Among the total, 5 cases got postpartum hemorrhage and received hysterectomy, and 30 cases were given palace of uterine stuffiness gauze or shoulder straps suture or uterine artery ligation due to uterine inertia. They’ prognosis were fine. Maternal death and severe complicatio weren’t take place among the 62