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1、38南昌大學(xué)學(xué)報(bào)(醫(yī)學(xué)版)2013年第53卷第9期JournalofNanchangUniversity(MedicalSciences)2013,Vo1.53No.9喉罩下七氟醚吸入全身麻醉在剖宮產(chǎn)術(shù)中的應(yīng)用郭善亮,張明生,周緒峰(江西省人民醫(yī)院麻醉科,南昌330006)摘要:目的探討喉罩下七氟醚吸入全身麻醉應(yīng)用于剖宮產(chǎn)術(shù)的麻醉效果及其安全性。方法選擇擬行剖宮產(chǎn)術(shù)有椎管內(nèi)麻醉禁忌證的4O例產(chǎn)婦為研究對(duì)象,按入院順序分別納入s組(一2O,喉罩下七氟醚吸人全身麻醉)和R組(:20,氣管插管全身麻醉)。記錄2組產(chǎn)婦人室時(shí)(TO)、插管或置人喉罩時(shí)(T1)、切皮時(shí)(T2)、拔管或拔喉罩時(shí)(T3)的
2、生命體征、胎兒娩出時(shí)間、停藥至拔管時(shí)間、手術(shù)時(shí)間和蘇醒時(shí)間;記錄產(chǎn)婦術(shù)中,術(shù)后2、6、24h內(nèi)總出血量;記錄新生兒出生1、5rain的Apgar評(píng)分及出生3、5d的神經(jīng)行為能力(NBNA)評(píng)分,并對(duì)所得數(shù)據(jù)進(jìn)行分析。結(jié)果2組產(chǎn)婦TO生命體征比較差異無(wú)統(tǒng)計(jì)學(xué)意義(P>0.05)。S組T1、T3HR、MAP均顯著低于R組(PO.05)。結(jié)論喉罩下七氟醚吸入全身麻醉可安全應(yīng)用于有椎管內(nèi)麻醉禁忌產(chǎn)婦的剖宮產(chǎn)術(shù),對(duì)產(chǎn)婦刺激小,淺
3、麻醉下可耐受,產(chǎn)婦生命體征平穩(wěn),術(shù)后拔管及蘇醒時(shí)間短,蘇醒質(zhì)量高,新生兒無(wú)呼吸抑制。關(guān)鍵詞:喉罩;七氟醚;剖宮產(chǎn);椎管內(nèi)麻醉禁忌證;全身麻醉中圖分類號(hào):R726.1文獻(xiàn)標(biāo)志碼:A文章編號(hào):2095—4727(2013)09—0038—03ApplicationofSevofluraneGeneralAnesthesiaviaLaryngealMaskAirwayinCaesareanSectionGUOShan。liang,ZHANGMing-sheng,ZHOUXu。feng(DepartmentofAnesthesia,JiangxiProvincialPeople’SHospital,
4、Nanchang330006,China)ABSTRACT:ObjectiveToinvestigatetheefficacyandsafetyofsevofluranegeneralanesthesiavialaryngealmaskairwayincaesareansection.MethodsFortyparturientwomenwithcontrain—dicationtospinalcanalanesthesiawhowerescheduledforcaesareansectionwererandomlyas—signedtoreceiveeithersevofluranegen
5、eralanesthesiavialaryngealmaskairway(groupS,n一20)orgeneralanesthesiaviatrachealintubation(groupR,n=2O).Vitalsigns,deliverytime,extuba—tiontimeandrecoverytimewererecordedatadmission(TO),intubationorlaryngealmaskinser—tion(T1),skinincision(T2),andextubationorlaryngealmaskremoval(T3).Maternalbloodloss
6、wasmeasuredwithin2,6and24hoursafteroperation.Inaddition,infantApgarscoresweredetermined1and5minutesafterbirthandneonatalbehavioralneurologicalassessment(NBNA)scoreswererecorded3and5daysafterbirth.ResultsTherewerenosignificantdifferencesinvi—talsignsbetweenthetwogroupatTO(P>O.05).ComparedwithgroupR,
7、heartrate,meanarte—rialpressure,extubationtimeandrecoverytimesignificantlydecreasedingroupSatT1andT3(P<0.05).Nosignificantdifferencesindeliverytime,operationduration,maternalbloodlOSS,ApgarscoresandNBNAscor