七氟醚诱导复合喉罩全身麻醉应用于高危产妇剖宫产术中的应用

Application of sevoflurane induced laryngeal mask airway general anesthesia in high risk parturients undergoing cesarean section

目的探析七氟醚诱导复合喉罩全麻应用于高危产妇剖宫产术中的效果。方法在2015年5月~2017年5月在本院产科接受剖宫产术的高危产妇中选出160例随机分组,对照组产妇给予腰硬联合麻醉,观察组产妇应用七氟醚诱导复合喉罩全麻,对比两组产妇不同时间点的生命体征、麻醉相关并发症发生率等。结果观察组产妇术中的生命体征(MAP、HR)波动较小,而对照组产妇波动较大(P<0.01);观察组产妇的麻醉相关并发症发生率3.75%比对照组的12.5%更低(P<0.05);两组新生儿在出生1 min、5 min时的Apgar评分之间差异无统计学意义。结论七氟醚诱导复合喉罩全麻应用到有高危因素剖宫产产妇中效果确切,对产妇及新生儿的影响较小,能保证产妇剖宫产术过程中血流动力学的平稳,降低手术风险,值得推广。

Objective To investigate the effect of sevoflurane induced laryngeal mask airway anesthesia on high risk parturients undergoing cesarean section. Methods Selected 160 cases randomly from May 2015 to May 2017 in our hospital to accept the risk of maternal cesarean section in the control group were treated with combined spinal epidural anesthesia, the observation group application of sevoflurane combined with laryngeal mask airway anesthesia, were compared between the two groups at different time points of life signs, the incidence of anesthesia related complications. Results The observation group of intraoperative vital signs(MAP, HR) and the control group of small fluctuations, fluctuations(P< 0.01); observation of anesthesia related complications occurred in 3.75% groups were 12.5% lower than the control group(P<0.05); the difference between the two groups of neonates born in 1 min, 5 min Apgar score no significant. Conclusion Sevoflurane combined with laryngeal mask airway anesthesia is applied to the effect of risk factors of cesarean section in the exact, little effect on maternal and neonatal, can guarantee the hemodynamics of cesarean section in the process of stable, reduce the risk of surgery, is worthy of promotion.