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中华妇幼临床医学杂志(电子版) ›› 2013, Vol. 09 ›› Issue (01) : 94 -96. doi: 10.3877/cma.j.issn.1673-5250.2013.01.023

所属专题: 文献

论著

3.5%七氟醚诱导复合喉罩全身麻醉在剖宫产术中的应用
程金红1,*,*(), 张郃1, 龙超1   
  1. 1. 437000 湖北咸宁,湖北咸宁中心医院麻醉科
  • 收稿日期:2012-06-04 修回日期:2012-11-05 出版日期:2013-02-01
  • 通信作者: 程金红

Application of Laryngeal Mask Combined With 3.5% Sevoflurane General Anaesthesia in Caesarean Section

Jin-hong CHENG1(), He ZHANG1, Chao LONG1   

  1. 1. Department of Anesthesia, Xianning Central Hospital, Xianning 437000, Hubei Provine, China
  • Received:2012-06-04 Revised:2012-11-05 Published:2013-02-01
  • Corresponding author: Jin-hong CHENG
  • About author:
    Corresponding author: CHENG Jin-hong, Email:
引用本文:

程金红, 张郃, 龙超. 3.5%七氟醚诱导复合喉罩全身麻醉在剖宫产术中的应用[J]. 中华妇幼临床医学杂志(电子版), 2013, 09(01): 94-96.

Jin-hong CHENG, He ZHANG, Chao LONG. Application of Laryngeal Mask Combined With 3.5% Sevoflurane General Anaesthesia in Caesarean Section[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2013, 09(01): 94-96.

目的

探讨3.5%七氟醚诱导复合喉罩全身麻醉应用于剖宫产术的麻醉效果及其安全性。

方法

选择2011年8月至2012年5月于本院拟行剖宫产术的100例产妇为研究对象,按入院顺序随机纳入研究组(n=50,3.5%七氟醚诱导复合喉罩全身麻醉)和对照组(n=50,气管插管全身麻醉)(本研究遵循的程序符合本院人体试验委员会所制定的伦理学标准,得到该委员会批准,分组征得受试对象本人的知情同意,并与之签署临床研究知情同意书)。对两组产妇不同观察时刻的生命体征、胎儿娩出时间、手术持续时间、拔管时间、苏醒时间、麻醉并发症和新生儿Apgar评分结果进行统计学分析。

结果

两组产妇T0生命体征比较,差异无统计学意义(P>0.05)。研究组T1T2T3心率(HR)、收缩压(SBP)、舒张压(DBP)均显著低于对照组,两组比较,差异有统计学意义(P<0.05)。两组拔管时间和苏醒时间比较,差异均有统计学意义(P<0.05)。两组胎儿娩出时间、手术持续时间、麻醉并发症及新生儿Apgar评分结果比较,差异均无统计学意义(P>0.05)。

结论

3.5%七氟醚诱导复合喉罩全身麻醉应用于剖宫产术,具有麻醉平稳、对产妇生命体征影响小、苏醒快、新生儿无呼吸抑制等优点,可取得较好的麻醉效果。

Objective

To investigate the application of laryngeal mask combined with 3.5% sevoflurane general anaesthesia in caesarean section.

Methods

From August 2011 to May 2012, 100 parturient women who planed to take caesarean section in our hospital were included in the study, and randomly divided into research group(n=50, laryngeal mask combined with 3.5% sevoflurane general anaesthesia) and control group(n=50, trachea cannula general anesthesia). The vital signs at different observation time, the fetus delivery time, the operation duration, extubation time, revival time, anesthesia complications and results of neonatal Apgar score were compared between two groups. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of Xianning Central Hospital. Informed consent was obtained from each patients.

Results

There had no significant difference in vital signs between two groups at T0(P>0.05). The heart rate(HR), systolic blood pressure(SBP) and diastolic blood pressure(DBP) in research group were obviously lower than those of control group at T1, T2, T3(P<0.05). There were significant differences in extubation time and revival time between two groups(P<0.05). There had no significant difference in the fetus delivery time, the operation duration, anesthesia complications and neonatal Apgar score between two groups(P>0.05).

Conclusions

Laryngeal mask combined with 3.5% evoflurane general anaesthesia in caesarean section has great anesthesia effect, which can stable vital signs, decrease the revival time, keep newborns away from respiratory depression.

表1 两组患者一般情况比较(±s)
Table 1 Comparison general clinical data between two groups(±s)
表2 两组产妇不同观察时刻生命体征比较(±s)
Table 2 Comparison of vital signs at different observation time between two groups (±s)
表3 两组手术及撤除麻醉情况比较(min,±s)
Table 3 Comparison of condition of operation and anaesthesia between two groups(min,±s)
表4 两组新生儿Apgar评分结果比较(分,±s)
Table 4 Comparison of results of Apgar scores between two groups(score,±s)
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