中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
34期
28-29
,共2页
杨武%陈小丽%赖峰%陈梓斌
楊武%陳小麗%賴峰%陳梓斌
양무%진소려%뢰봉%진재빈
椎管内麻醉%全身麻醉%妊娠合并血小板减少%剖宫产
椎管內痳醉%全身痳醉%妊娠閤併血小闆減少%剖宮產
추관내마취%전신마취%임신합병혈소판감소%부궁산
Intraspinal anesthesia%General anesthesia%Thrombocytopenia in pregnancy%Cesarean section
目的：探究对妊娠合并血小板减少症产妇在当前椎管内麻醉和全身麻醉的麻醉方式上进行剖宫产术的临床应用价值效果，为以后此类患者的临床方案的制定提供可靠依据。方法选自本院2010年1月至2013年1月收治的血小板计数低于100×109的产妇共有100例，将其分为椎管内麻醉组和全麻组，每组各有患者50例，其中椎管内麻醉组血小板计数每升超过50×109，全麻组患者血小板计数低于50×109。对2组患者的临床资料以回顾性的方法进行分析，了解2种麻醉方法在剖宫产术中的临床指标。结果2组产妇均顺利完成剖宫产手术。2组产妇术中出血量对比并无统计学意义(P＞0.05）；新生儿在分娩后1min进行Apgar评分，椎管内麻醉组患者新生儿发生窒息事件的概率相对于全麻组要低很多，二者对比有统计学意义(P＜0.05）；新生儿在分娩后5min进行Apgar评分，2组对比无统计学意义(P＞0.05）。结论妊娠合并血小板减少症产妇在应用剖宫产终止妊娠的时候需要结合其具体临床情况，针对性的选择麻醉方式，需要充分的对病情进行估计和做好术前准备，最大程度保障母婴生命健康。
目的：探究對妊娠閤併血小闆減少癥產婦在噹前椎管內痳醉和全身痳醉的痳醉方式上進行剖宮產術的臨床應用價值效果，為以後此類患者的臨床方案的製定提供可靠依據。方法選自本院2010年1月至2013年1月收治的血小闆計數低于100×109的產婦共有100例，將其分為椎管內痳醉組和全痳組，每組各有患者50例，其中椎管內痳醉組血小闆計數每升超過50×109，全痳組患者血小闆計數低于50×109。對2組患者的臨床資料以迴顧性的方法進行分析，瞭解2種痳醉方法在剖宮產術中的臨床指標。結果2組產婦均順利完成剖宮產手術。2組產婦術中齣血量對比併無統計學意義(P＞0.05）；新生兒在分娩後1min進行Apgar評分，椎管內痳醉組患者新生兒髮生窒息事件的概率相對于全痳組要低很多，二者對比有統計學意義(P＜0.05）；新生兒在分娩後5min進行Apgar評分，2組對比無統計學意義(P＞0.05）。結論妊娠閤併血小闆減少癥產婦在應用剖宮產終止妊娠的時候需要結閤其具體臨床情況，針對性的選擇痳醉方式，需要充分的對病情進行估計和做好術前準備，最大程度保障母嬰生命健康。
목적：탐구대임신합병혈소판감소증산부재당전추관내마취화전신마취적마취방식상진행부궁산술적림상응용개치효과，위이후차류환자적림상방안적제정제공가고의거。방법선자본원2010년1월지2013년1월수치적혈소판계수저우100×109적산부공유100례，장기분위추관내마취조화전마조，매조각유환자50례，기중추관내마취조혈소판계수매승초과50×109，전마조환자혈소판계수저우50×109。대2조환자적림상자료이회고성적방법진행분석，료해2충마취방법재부궁산술중적림상지표。결과2조산부균순리완성부궁산수술。2조산부술중출혈량대비병무통계학의의(P＞0.05）；신생인재분면후1min진행Apgar평분，추관내마취조환자신생인발생질식사건적개솔상대우전마조요저흔다，이자대비유통계학의의(P＜0.05）；신생인재분면후5min진행Apgar평분，2조대비무통계학의의(P＞0.05）。결론임신합병혈소판감소증산부재응용부궁산종지임신적시후수요결합기구체림상정황，침대성적선택마취방식，수요충분적대병정진행고계화주호술전준비，최대정도보장모영생명건강。
Objective?To?explore?the?clinical?application?effect?of?thrombocytopenia?in?pregnancy?maternal?anesthesia?and?general?anesthesia?in?the?spinal?anesthesia?for?caesarean?section,to?provide?a?reliable?basis?for?making?future?clinical?scheme?for?such?patients.?Method?100?cases?of?pregnant?women?were?selected?from?the?hospital,from?2010?January-2013?year?in?January?which?the?platelet?count?below?100×109.?100?patients?were?divided?into?the?spinal?anesthesia?group?and?general?anesthesia?group,?each?group?has?50?patients,of?which?the?spinal?anesthesia?group?platelet?count?per?liter?of?more?than?50×109,?general?anesthesia?group?of?platelet?count?in?patients?with?less?than?50×109.?To?analysis?the?clinical?data?of?2?patients?with?retrospective,to?understand?the?clinical?indicators?2?anesthesia?in?cesarean?section.?Result?The?2?groups?were?successfully?completed?the?caesarean?operation.The?amount?of?bleeding?compared?no?significant?maternal?in?2?groups?(P>0.05);To?make?Apgar?score?on?the?neonatal?after?delivery?in?1?minutes,?the?probability?of?intraspinal?anesthesia?group?of?patients?with?neonatal?suffocation?events?relative?to?the?general?anesthesia?group?was?much?lower,?both?have?statistical?significance(P<0.05)?contrast;?To?make?Apgar?score?on?the?neonatal?after?delivery?in?5?minutes,?there?was?no?statistical?significance?between?the?2?groups(P>0.05).?Conclusion?The?women?with?thrombocytopenia?in?pregnancy?in?the?application?of?cesarean?section?pregnancy?termination?that?need?to?combine?the?specific?clinical?situation,?to?choose?the?anesthesia?targeted,?the?need?for?adequate?estimation?of?the?disease?and?preoperative?preparation,?protect?maternal?life?and?health?in?the?maximum?level.
