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