CAJ | 학술논문

目的:探讨静脉复合麻醉对剖宫产产妇及新生儿的安全性及可行性.方法:将1200例剖宫产产妇随机分为观察组及对照组,观察组采用0.5mg阿托品、0.1g苯巴比妥及0.25%罗哌卡因联合静脉麻醉,对照组产妇采用0.1g苯巴比妥及0.25%罗哌卡因联合静脉麻醉,以VAS疼痛评分标准测定患者术后1h、12h、24h及48h的镇痛效果,并比较两组新生儿阿氏评分及产妇血流指标变化情况.结果:观察组术后VAS评分均低于对照组(P<0.05),新生儿阿氏评分及血流指标两组差异无统计学意义(P>0.05).结论:对行剖宫产的产妇应用静脉复合麻醉可起到较好的镇痛效果,且不会对新生儿及产妇造成较大影响,安全可靠,值得临床应用.
목적:탐토정맥복합마취대부궁산산부급신생인적안전성급가행성.방법:장1200례부궁산산부수궤분위관찰조급대조조,관찰조채용0.5mg아탁품、0.1g분파비타급0.25%라고잡인연합정맥마취,대조조산부채용0.1g분파비타급0.25%라고잡인연합정맥마취,이VAS동통평분표준측정환자술후1h、12h、24h급48h적진통효과,병비교량조신생인아씨평분급산부혈류지표변화정황.결과:관찰조술후VAS평분균저우대조조(P<0.05),신생인아씨평분급혈류지표량조차이무통계학의의(P>0.05).결론:대행부궁산적산부응용정맥복합마취가기도교호적진통효과,차불회대신생인급산부조성교대영향,안전가고,치득림상응용.
Objective:To investigate the safety and feasibility of compound intravenous anesthesia for puerperae and newborns with cesarean section. Methods:1200 cases of cesarean section were randomly divided into observation group and control group, the observation group used compound in-travenous anesthesia with atropine of 0.5mg, phenobarbital of 0.1g and ropivacaine by 0.25%, puerperae of the control group with phenobarbital of 0.1g and ropivacaine by 0.25%, to determine the analgesia effects of postoperative 1h, 12h, 24h and 48h with pain scoring criteria of VAS, and to compare the changes of neonatal Apgar scores and maternal blood flow indexes between two groups. Results:Postoperative VAS scores of observa-tion group were lower than those of control group (P<0.05), without significant differences in neonatal Apgar scores and blood flow indexes between two groups (P>0.05). Conclusion:Compound intravenous anesthesia applied in puerperae of cesarean section can play preferable analgesic effects, without great influence on neonatal and maternal, which is safe, reliable and worthy of clinical application.