Analysis of 84 cesarean section cases with general anesthesia

LIU Xinwei; et al

doi:10.13406/j.cnki.cyxb.2005.04.037

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Analysis of 84 cesarean section cases with general anesthesia

更新时间：2024-01-17

- Analysis of 84 cesarean section cases with general anesthesia
- Journal of Chongqing Medical University Issue 4, Pages: 612-614(2005)
- 作者机构：
  
  1. 重庆医科大学附属第一医院麻醉科
  2. 巴布亚新几内亚莫尔兹比港总医院麻醉科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2005.04.037
  CLC： R719.8
- Published：2005，
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[1]刘新伟,Megea Pole.84例全麻剖宫产分析[J].重庆医科大学学报,2005(04):612-614.

LIU Xinwei, et al. Analysis of 84 cesarean section cases with general anesthesia. [J]. Journal of Chongqing Medical University (4):612-614(2005)
[1]刘新伟,Megea Pole.84例全麻剖宫产分析[J].重庆医科大学学报,2005(04):612-614. DOI： 10.13406/j.cnki.cyxb.2005.04.037.

LIU Xinwei, et al. Analysis of 84 cesarean section cases with general anesthesia. [J]. Journal of Chongqing Medical University (4):612-614(2005) DOI： 10.13406/j.cnki.cyxb.2005.04.037.

摘要

目的:分析全麻下剖宫产不同分娩时间

急诊/择期和正常体重/低体重新生儿与Apgar评分的关系以及产妇术中知晓的发生率。方法:84例妊娠36周以上临产妇。根据麻醉诱导至胎儿娩出<10min或≥10min;切开子宫至胎儿娩出<3min或≥3min;急诊或择期;低体重或正常体重（<2.5kg或≥2.5kg）分别分组

比较各对应组新生儿Apgar1

5min评分。麻醉诱导用硫喷妥钠与司可林;麻醉维持用N2O

氟烷

潘库溴铵或阿屈库铵。胎儿娩出后静注吗啡或芬太尼。结果:Apgar 1min与5min评分在麻醉诱导至胎儿娩出小于10min组

切开子宫至胎儿娩出小于3min组

择期组均较其对应组高

（P>0.05）;低体重新生儿组Apgar 1min与5min评分较正常体重组明显低（P<0.05）。术中知晓的发生率为10.71%。结论:全麻下胎儿分娩时间越短越好。术前母婴状态将直接影响其新生儿Apgar评分。全麻下剖宫产低体重新生儿易于出现Apgar评分低。

Abstract

Objective:To analyze the influence of different delivery interval

emergency/elective operations

normal/low birth weight infants on their Apgar scores in cesarean section with general anesthesia and intra-operative awareness.Methods:84 pregnant women over 36 week in labor were divided into the contracted groups according to anesthesia induction to delivery interval （ID） lower or over 10 min

incision uterine to delivery interval （UD） lower or over 3 min

emergency or elective cases

and infants weight lower 2.5kg or equal and over 2.5kg.Anesthesia was induced with thiopental

succinylcholine and maintained with N

Halothane and pancuronium or atracurium.Morphine or fentanyl bolus injected intravenously after delivery.Results:There were better Apgar scores （P

0.05） observed in short delivery time in induction-delivery （ID

10min） and incision uterine-delivery （UD

3min）.The elective group showed better Apgar scores （P

0.05） than the emergency group.There were significant （P

0.05） differences observed in Apgar scores between low birth weight group and normal weight baby group.Intra-operative awareness was 10.71% in patients.Conclusion:The shorter the delivery interval the higher the Apgar scores.The pre-operative maternal and foetal status will directly affect infants Apgar scores.Infants with lower weight delivered cesarean section under general anesthesia easily present lower Apgar scores.

关键词

剖宫产全身麻醉新生儿评分

Keywords

cesarean sectiongeneral anesthesiaApgar scores

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