腰-硬联合阻滞麻醉穿刺失败改用硬膜外腔阻滞麻醉辅助酒石酸布托啡诺对剖宫产新生儿的影响

目的:探讨硬膜外腔阻滞麻醉辅助酒石酸布托啡诺对剖宫产新生儿的影响情况。方法:2005年2月～2011年12月收治ASAⅠ～Ⅱ级产妇腰-硬联合阻滞麻醉穿刺失败改用硬膜外腔阻滞麻醉的剖宫产患者127例,随机分成两组,A组为因硬膜外阻滞不全而辅用酒石酸布托啡诺的病例;B组硬膜外阻滞满意。结果:根据麻醉情况,A组53例,B组74例,两组新生儿Apgar评及术后情况:A组Apgar1分钟8.9±0.9分,Apgar5分钟9.9±0.5分,B组Apgar1分钟8.7±0.9分,Apgar5分钟9.8±0.6分,两组比较无显著性差异(P>0.05),A组53例产妇中有恶心、呕吐15例(28%),头晕3例(6%);B组74例产妇中有恶心、呕吐16例(22%)。A组不良反应略高于B组。结论:硬膜外腔阻滞麻醉辅助酒石酸布托啡诺对剖宫产新生儿无明显影响。

Objective：To investigate the joint block anesthesia assisted tartrate butorphanol cesarean section newborns. Methods：before February 2011 to December ASA I I1 level surgery 350 cases of fetal distress cesarean section were randomly divided into two groups, group A because of incomplete epidural block and auxiliary tartrate cloth care to brown the promise of the cases; Group B epidural anesthesia. Results： According to the anesthesia situation, A group of 110 cases, 240 cases of B, two groups of neonatal Apgar assessment and postoperative ： A group Apgar 1 rain ： 8.9 ± 0. 9, Apgar 5min 9. 9 ±0. 5 group B Apgarlmin and for ：8.7±0. 9, Apgar 5rain 9. 8 ±0. 6 points, the two groups showed no significant differ-ence（P 〉 0. 05）, A group of 110 cases of maternal nausea, vomiting, 10 cases （9. 1% ）, dizziness, 7 cases, accounting for 4% ;Group B,240 cases of maternal nausea, vomiting 3 cases, accounting for 1.25%. Group A side effect of slightly higher than the B group. Conclusion：The joint block anesthesia assisted tartrate butorphanol had no significant effect of cesarean section newborns.