全凭静脉麻醉在初产妇剖宫产分娩麻醉中的应用效果及对血流动力学指标的影响

Application Effect of Total Intravenous Anesthesia in Delivery Anesthesia for Cesarean Section of Primipara and Its Influence on Hemodynamic Indexes

目的探究全凭静脉麻醉在初产妇剖宫产分娩麻醉中的应用效果及对血流动力学影响。方法以本院2018年1月至2020年1月收治的60例行剖宫产的初产妇按照随机数字表法分组,观察组、对照组各30例,分别予以全凭静脉麻醉、静脉吸入复合麻醉,观察应用效果。结果观察组、对照组分娩1min、5min后Appgar评分相比无显著差异(t=0.060、0.124,P=0.476、0.451),但T(插管时)、T(手术开始时)两组心率(HR)、平均动脉压(MAP)相比差异显著(t=4.526、14.718,33.694、12.794;P=0.000、0.000,0.000、0.000)、简易精神状态评价量表(MMSE)评分相比差异显著(t=5.622,P=0.000)。结论全凭静脉麻醉、静脉吸入复合麻醉均在剖宫产初产妇中具有较好麻醉效果,但全凭静脉麻醉对产妇血流动力学、产后认知功能影响更小,安全性更高,值得推广。

Objective To explore the effect of total intravenous anesthesia in delivery anesthesia for cesarean section of primipara and its influence on hemodynamics.Methods The 60 primiparas who underwent cesarean section admitted to this hospital from January 2018 to January 2020 were divided into groups according to the random number table method.The observation group and the control group each received 30 cases and received total intravenous anesthesia and intravenous inhalation combined anesthesia.,Observe the application effect.Results There was no significant difference in Appgar scores between the obse rvation group and the control group 1 min and 5 min after delivery(t=0.060,0.124,P=0.476,0.451),but the heart rate(HR),mean arterial pressure(MAP)compared with significant differences(t=4.526,14.718,33.694,12.794;P=0.000,0.000,0.000,0.000),simple mental state assessment scale(MMSE)scores are significantly different(t=5.622,P=0.000).Conclusion Both total intravenous anesthesia and intravenous inhalation com bined anesthesia have better anesthesia effects in primipa ras of cesa rean section,but total intravenous anesthesia has less effect on maternal hemodynamics and postpa rtum cognitive function,and is more safe.It is worthy of promotion.