CAJ | 학술논문

目的探讨妊娠高血压综合症行剖宫产术应用丙泊酚-瑞芬太尼-阿曲库铵复合全身麻醉的可行性及其对母婴的影响.方法 38例妊娠高血压综合症剖宫产病例,应用丙泊酚复合瑞芬太尼进行全身麻醉,新生儿娩出后1分钟进行Apgar评分,2分钟内取脐动脉(UA)血样2 ml进行血气分析.结果全部病例气管插管即刻、切皮即刻、拔除气管导管即刻各时点血液动力学波动均在正常范围,均无术中知晓发生.新生儿娩出后1分钟Apgar评分为8～ 10分,在正常范围内.新生儿娩出后2分钟脐带动脉(UA)血气分析pH、PaO2(kpa)、PaCO2(kpa)、BE值、HCO3-结果均正常.结论瑞芬太尼-异丙酚-阿曲库铵复合全身麻醉用于剖宫产术患者效果良好,对新生儿无不良影响.
목적 탐토임신고혈압종합증행부궁산술응용병박분-서분태니-아곡고안복합전신마취적가행성급기대모영적영향.방법 38례임신고혈압종합증부궁산병례,응용병박분복합서분태니진행전신마취,신생인면출후1분종진행Apgar평분,2분종내취제동맥(UA)혈양2 ml진행혈기분석.결과 전부병례기관삽관즉각、절피즉각、발제기관도관즉각각시점혈액동역학파동균재정상범위,균무술중지효발생.신생인면출후1분종Apgar평분위8～ 10분,재정상범위내.신생인면출후2분종제대동맥(UA)혈기분석pH、PaO2(kpa)、PaCO2(kpa)、BE치、HCO3-결과균정상.결론 서분태니-이병분-아곡고안복합전신마취용우부궁산술환자효과량호,대신생인무불량영향.
Objective To investigate the feasibility and the impact of propofol remifentanil atracurium general anesthesia application to the pregnancy-induced hypertension in patients with cesarean section and its influence to mothers and infants.Methods 38 cases of pregnancy-induced hypertension cesarean section cases,the application of propofol remifentanil atracurium general anesthesia,the newborn was Apgar scored 1 minute after delivery,umbilical artery (U A) obtained within 2 minutes with 2 ml of blood samples for blood gas analysis.Results All patients had immediate tracheal intubation,skin incision,extubation hemodynamic stability at each time point,and within the normal range of fluctuation,no occurrence of intraoperative awareness found.Neonatal Apgar score was 8-10 minute after delivery,with all results of UA blood gas analysis pH value,PaO2(kpa),PaCO2(kpa),BE and HCO3- within the normal range.Conclusion Remifentanil propofol atracurium general anesthesia has good effect for patients with cesarean section,without adverse effects to the newborn.