瑞芬太尼联合七氟醚在产科全身麻醉中的应用

›› 2019, Vol. 4 ›› Issue (8): 54-57.

瑞芬太尼联合七氟醚在产科全身麻醉中的应用

杨毅，贺文伟，郭祯华

（大理大学第一附属医院麻醉科，云南大理671000）

收稿日期:2018-05-08 修回日期:2019-04-01 出版日期:2019-08-15 发布日期:2019-08-15
作者简介:杨毅，副主任医师，主要从事临床麻醉研究.

Application of Remifentanil Combined with Sevoflurane in General Anesthesia of Obstetrics

Yang Yi, He Wenwei, Guo Zhenhua

（Department of Anesthesiology, The First Affiliated Hospital of Dali University, Dali, Yunnan 671000, China）

Received:2018-05-08 Revised:2019-04-01 Online:2019-08-15 Published:2019-08-15

摘要/Abstract

摘要：

目的：观察瑞芬太尼联合七氟醚在产科手术全身麻醉中的应用效果。方法：选择在大理大学第一附属医院产科收
治的56例产妇，需要在全身麻醉下行剖宫产手术，按照全身麻醉方式的不同分为对照组和实验组，每组28 例，A组（对照
组）产妇采用剖宫产传统全身麻醉，B 组（实验组）产妇选用瑞芬太尼联合七氟醚全身麻醉，观察两组产妇在麻醉手术中
HR（心率）、SBP（收缩压）、DBP（舒张压）和MAP（平均压）参数变化以及剖出胎儿即刻、3、5、10 min Apger评分。结果：两
组产妇插管后，切皮时和拔管时的HR、SBP、DBP、MAP差异有统计学意义（P < 0.05）。两组产妇新生儿出生即刻、3、5、10 min
Apger 评分差异无统计学意义（P＞0.05）。结论：瑞芬太尼联合七氟醚全身麻醉是一种安全、有效的麻醉方式，在剖宫产需
要选择全身麻醉的产妇中有应用的价值。

关键词: 全身麻醉, 产科手术, 瑞芬太尼, 七氟醚

Abstract:

Objective: To observe the efficacy of remifentanil combined with sevoflurane in general anesthesia for obstetric surgery.
Methods: The 56 puerperae in the First Affiliated Hospital of Dali University were required to undergo caesarean section under
general anesthesia. They were divided into an experimental group and a control group according to the different general anesthesia
methods. There were 28 cases in each group, group A（control group）adopting traditional general anaesthesia for caesarean section,
and group B（experimental group）being given general anesthesia with remifentanil combined with sevoflurane. Changes in parameters
of HR, SBP, DBP and MAP were observed during the anesthesia of the two groups, and Apger scores were given to the fetus
immediately at birth, 3 min, 5 min and 10 min after birth. Results: There were significant differences in HR, SBP, DBP and MAP
between skin incision and extubation during intubation（P<0.05）. There was no statistically significant difference in the Apger scores
between the two groups at the moment of birth, 3min, 5min, and 10 min（P>0.05）. Conclusion: Remifentanil combined with
sevoflurane general anesthesia is a safe and effective method of anesthesia, and the value of the application in caesarean section should
be applied to the puerperae with general anesthesia.

Key words: general anesthesia, obstetric surgery, remifentanil, sevoflurane

中图分类号:

R614

杨毅, 贺文伟, 郭祯华. 瑞芬太尼联合七氟醚在产科全身麻醉中的应用[J]. , 2019, 4(8): 54-57.

YANG Yi, HE Wen-Wei, GUO Zhen-Hua. Application of Remifentanil Combined with Sevoflurane in General Anesthesia of Obstetrics[J]. , 2019, 4(8): 54-57.

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