瑞芬太尼和异丙酚在高危妊娠剖宫产全身麻醉中的应用

Application of Remifentanil and Propofol in General Anesthesia for High-risk Pregnancy Cesarean Section

目的探究瑞芬太尼和异丙酚在高危妊娠剖宫产全身麻醉中的临床应用。方法选取2016年1月-2019年6月在我院妇产科进行分娩的64例高危妊娠剖宫产产妇进行研究,按照抽签法分组(n=32),对照组采用氯胺酮全身麻醉,观察组采用瑞芬太尼及异丙酚全身麻醉,对比两组应用效果。结果两组新生儿的脐带血血气指标差异无统计学意义(P> 0.05);剖宫产手术时及麻醉后,观察组收缩期血压(systolic blood pressure,SBP)、舒张期血压(diastolic blood pressure,DBP)、心率(heart rate,HR)指标均低于对照组(P <0.05)。结论在高危妊娠剖宫产产妇中采用瑞芬太尼和异丙酚行全身麻醉,对新生儿的影响较小,可以维持产妇体内血流动力学稳定。

Objective To explore the clinical application of remifentanil and propofol in general anesthesia of cesarean section in high risk pregnancy. Methods 64 cases of cesarean section women with high-risk pregnancy who were delivered in our hospital from January 2016 to June 2019 were selected for study. According to the method of drawing lots, they were divided into two groups(n =32). The control group was given ketamine general anesthesia, the observation group was given remifentanil and propofol general anesthesia, and the effects of the two groups were compared. Results There was no significant difference in cord blood gas between the two groups(P > 0.05);systolic blood pressure(SBP), diastolic blood pressure(DBP) and heart rate(HR) in the observation group were lower than those in the control group during cesarean section and after anesthesia(P < 0.05). Conclusion General anesthesia with remifentanil and propofol has little effect on newborns and can maintain the stability of hemodynamics in high-risk pregnant women.