摘要
目的对妊娠合并心脏病剖宫产患者的麻醉方式以及麻醉效果进行调查。方法随机选取2017年2月至2018年2月潍坊市寒亭区妇幼保健院收治的妊娠合并心脏病患者60例。采用系统随机分组方式分为全麻组和硬膜外麻醉组,每组30例。比较两组患者生命体征,同时比较新生儿Apgar评分。结果全麻组患者手术前心率为(97.6±4.4)次/min,硬膜外麻醉组为(77.3±5.6)次/min(P<0.05)。全麻组患者手术前、胎儿取出后心率明显高于硬膜外麻醉前,同样高于其麻醉前心率(P<0.05)。全麻组患者胎儿取出后中心静脉压为(109.8±4.2)P/mm Hg,高于麻醉前、手术前,同样高于硬膜外麻醉组患者(P<0.05)。全麻组新生儿Apgar评分正常22例,硬膜外麻醉组29例(P<0.05)。结论连续硬膜外麻醉更有利于稳定患者生命体征,优势更高。
Objective To investigate the anesthetic method and anesthetic effect of cesarean section in pregnant women with cardiac disease. Methods: 60 pregnant women with heart disease were randomly selected from our hospital in February 2017-2018 February. The patients were randomly divided into general anesthesia group and epidural anesthesia group. 30 cases each. The vital signs of the two groups were compared,and the neonatal Apgar score was compared. Results: before operation,the heart rate of the general anesthesia group was( 97. 6 ± 4. 4) times/min,and the epidural anesthesia group was( 77. 3 ± 5. 6) times/min( P < 0. 05). The heart rate of patients in general anesthesia group before and after fetal removal was significantly higher than that before epidural anesthesia,which was also higher than that before anesthesia,P < 0. 05. The central venous pressure of the patients in the general anesthesia group was( 109. 8 ±4. 2) P/mm Hg,which was higher than that before and before the operation,and was also higher than that in the epidural anesthesia group( P < 0. 05). In general anesthesia group,neonatal Apgar score was normal in 22 cases,epidural anesthesia group in 29 cases,P < 0. 05. Conclusion continuous epidural anesthesia is more conducive to stabilize the vital signs of patients,and has a higher advantage.
出处
《中华心脏与心律电子杂志》
2017年第4期231-233,共3页
Chinese Journal of Heart and Heart Rhythm(Electronic Edition)
关键词
妊娠
心脏病
剖宫产
麻醉
Pregnancy
Heart disease
Cesarean section
Anesthesia
