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目的探讨不同全身麻醉(全麻)诱导方法对剖宫产术中新生儿及产妇的影响。方法 68例行剖宫产手术的产妇,随机分为实验组和对照组,各34例。实验组使用七氟烷吸入麻醉诱导,对照组使用丙泊酚静脉麻醉诱导。比较两组术后相关指标。结果在气管插管前、手术开始时、胎儿娩出后,实验组的血压、心率、脑电双频指数(BIS)等指标优于对照组,差异有统计学意义(P<0.05)。实验组新生儿在出生后的1、5 min内的Apgar评分显著大于对照组,新生儿血液中氧气的含量及出生时间优于对照组,差异有统计学意义(P<0.05)。结论使用七氟烷吸入麻醉对剖宫产术中新生儿及产妇的影响较小,临床可积极推广使用。
Objective To investigate the effects of different general anesthesia (general anesthesia) induction methods on neonates and mothers in cesarean section. Methods 68 cases of cesarean section maternal women were randomly divided into experimental group and control group, 34 cases each. The experimental group was induced by sevoflurane inhalation anesthesia, and the control group was induced by propofol intravenous anesthesia. The postoperative related indexes of two groups were compared. Results Before the endotracheal intubation, at the beginning of the operation and after the fetus was delivered, the indexes of blood pressure, heart rate and bispectral index (BIS) in the experimental group were better than those in the control group. The difference was statistically significant (P <0.05). The Apgar score of newborns in experimental group was significantly higher than that of control group within 1,5 minutes after birth. The oxygen content and birth time in newborn blood were better than those in control group (P <0.05). Conclusion The use of sevoflurane inhalation anesthesia on cesarean section neonates and maternal less affected, the clinical can be actively promoted.