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| Outcomes analysis of neonatal and maternal when sevoflurane combined with remifentanil for induction of cesarean delivery in general anesthesia |
| SUN Huabai |
| Zaozhuang New Maternal and Child Health Care Hospital,Zaozhuang 277201,P.R.China |
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Abstract Objective To investigate the effects of sevoflurane combined with remifentanil on neonates undergoing cesarean section under general anesthesia and to analyze the maternal outcomes.Methods One hundred full-term pregnant women undergoing cesarean section were randomly divided into two groups, the control group and the observation group,50 cases in each group.Remifentanil was used only in the control group,while sevoflurane combined with remifentanil was used in the observation group.Apgar score and anesthesia effect of the two groups were recorded,and the bleeding situation within 2,6 and 24 hours after operation was compared.Results In the observation group,37 cases were excellent,11 cases were good, the excellent and good anesthesia rate was 96.0%;in the control group,23 cases were excellent,10 cases were good, and the excellent and good anesthesia rate was 66.0%. The excellent and good anesthesia rate of the observation group was significantly higher than that of the control group, and the difference was statistically significant. The Apgar scores of neonates in the two groups increased gradually at 1, 5 and 10 minutes after birth. The amount of postpartum hemorrhage in the two groups increased gradually 2,6 and 24 hours after operation.Conclusion Sevoflurane combined with remifentanil could induce general anesthesia for parturients undergoing cesarean section, and it had high safety and lower postoperative bleeding.
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Received: 25 August 2018
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[1] 邱秋英, 侯芝琦. 七氟烷联合瑞芬太尼诱导全麻剖宫产对新生儿及产妇的影响[J].右江民族医学院学报,2016,38(2):186-187.
[2] 陈文雄,邓志海,欧阳文博.氯胺酮和异丙酚联合瑞芬太尼用于剖宫产全麻诱导的临床对比分析[J].临床医学工程,2017,24(3):351-352.
[3] 王朝辉, 徐世琴, 冯善武, 等. 瑞芬太尼复合丙泊酚联合无正压通气诱导技术在5分钟剖宫产中的应用[J].临床麻醉学杂志,2016, 32(8):745-747.
[4] 陈铭,胡明新.瑞芬太尼联合丙泊酚靶控输注全身麻醉对高龄妊娠剖宫产的影响研究[J].现代医药卫生,2017,33(19):2907-2908,2911.
[5] 戚宝和,侍羽,包全堂,等.七氟烷联合瑞芬太尼对全身麻醉患者术中相关指标和术后苏醒质量的影响[J].中国药房,2015,26(33):4649-4651.
[6] 范守国,玛依努尔.探讨瑞芬太尼与七氟烷或丙泊酚联合应用在全身麻醉中的效果分析[J].世界最新医学信息文摘,2016,16(18):169.
[7] 邱秋英,侯芝琦.七氟烷联合瑞芬太尼诱导全麻剖宫产对新生儿及产妇的影响[J].右江民族医学院学报,2016,38(2):186-187.
[8] 倪如飞,王敏霞, 刘吉平,等.Narcotrend监测下七氟烷联合瑞芬太尼全身麻醉应用于剖宫产手术对母婴的影响[J].中国医药科学, 2018,8(13):127-131.
[9] Ali M A,Ismail S,Sohaib M,et al.A double-blind randomized control trial to compare the effect of varying doses of intrathecal fentanyl on clinical efficacy and side effects in parturients undergoing cesarean section[J].J Anaesthesiol Clin Pharmacol,2018,34(2):221-226.
[10] Wang Y,Xu H,Li H,et al.Association of hemodynamics during caesarean section, outcomes after caesarean section and hormone changes with different anesthesia in pregnant women with severe pulmonary arterial hypertension[J].Exp Ther Med,2018,15(6):4731-4736. |
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