摘要
目的研究高原地区全身麻醉下实施剖宫产手术麻醉药物对新生儿安全性的影响。方法通过测定胎儿娩出1 min、3 min产妇及新生儿血浆中丙泊酚和罗库溴铵的浓度、动脉血气分析、新生儿Apgar评分,从而分析高原地区全身麻醉药对新生儿安全性的影响。结果新生儿娩出后1 min和3 min血浆中麻醉药物浓度测定、脐血气分析、胎儿娩出时间和Apgar评分结果均无明显差异。结论在做好充分的评估和相关准备,选择合适的麻醉药物,以及熟练的麻醉技术情况下,高原地区剖宫产中全麻药对新生儿是安全的。
Objective The aim of the study was to evaluate the safety profile of anesthet ics on neonates delivered via a C-section on plateaus. Methods The blood samples from neonatal umbilical cords and venous blood in corresponding mothe rs were obtained at 1-minute and 3-minute after a C-section delivery operated on a plateau under general anesthesia. The concentration of propofol and rocuro- nium between neonates and mothers blood samples were compared. In addition, the Apgar scores awere assessed at the corresponding time points. Results The concentration of anesthetics in neonates’ umbilical blood and mothe rs’ blooddid not differ significantly at 1-minute and 3-minute. The umbilical arterial blood gas and Apgar score wcorresponding time s. Conclusion Both propofol and rocuronium have a safe profile on neonates who were delivered on a plateau undergeneral anesthesia.
出处
《麻醉安全与质控》
2017年第5期237-239,共3页
Perioperative Safety and Quality Assurance
基金
青海省应用基础研究计划(2012-Z-719)
关键词
高原地区
全身麻醉
新生儿安全
plateau area
general anesthesia
neonatal safety
