气管插管全麻在剖宫产术中的临床应用

Value of the General Anesthesia with Endotracheal Intubation in the Cesarean Section Operation under General Anesthesia

目的观察气管插管全身麻醉用于剖宫产术对母婴安全的可行性。方法对30例择期剖宫产的足月临产妇行全身麻醉。麻醉诱导用丙泊酚1—1．5mg／kg、氯胺酮1mg,／kg、阿曲库胺0．3．0．4mg/kg快速诱导插管，胎儿娩出后静脉推注舒芬太尼20雌，静脉泵入丙泊酚5～8mg／（kg·h）维持麻醉。记录诱导前、诱导后、插管后1和5min产妇的血压、心率、血氧饱和度的变化；观察麻醉诱导至胎儿娩出5和10min时新生儿Apgar评分以及活动情况。结果麻醉诱导时收缩压稍有下降，插管后又略有升高，舒张压、心率、血氧饱和度无明显变化。全组胎儿娩出时间均≤10min胎儿娩出后1和5min时新生儿Apgar评分无统计学意义（P〉0．05）；本组全麻对母婴无明显影响，术中循环稳定，胎儿娩出无明显呼吸抑制。结论气管插管全麻对剖宫产术母婴是安全的。

Objective To observe the safety and efficacy of endotracheal intubation in the cesarean section operation under general anesthesia. Methods A total of 30 singleton pregnant women were selected for general anesthesia. Blood pressure（BP） ,heart rate（HR） ,oxygen saturation with pulse oximetry（ SpO2 ） were measured before and after induction. General anesthesia was induced with propofoul 1 - 1.5 mg/kg, ketamine 1 mg/kg ,atracurium 0.3 - 0.4 mg/kg. The women were given sufentangly 20 μg after delivery, propofoul was consecutively transferred at the rate of 5 -8 mg/（ kg · h）. Results After induction and intu- bation, SBP changed significantly, while DBP, HR and SpO2 did not change. The fetus delivery time mithon 10 min. The Apgar scores at 1,5 rain were not different between the two groups（P 〉0.05）. Conclusion Endotracheal intubation in the Cesarean section operation under general anesthesia was safe and effective.