5min紧急剖宫产对母婴结局的影响及麻醉管理

发布时间：2018-05-29 03:55

  本文选题：min紧急剖宫产 + 母婴结局　； 参考：《广东医学》2017年18期

【摘要】：目的探讨5 min紧急剖宫产对母婴结局的影响及麻醉管理策略。方法选择剖宫产术分娩的患者90例,根据Lucas分类法及是否启动5 min紧急剖宫产程序分为两组,启动5 min紧急剖宫产程序的为紧急剖宫产组(E组,n=45),没有启动5 min紧急剖宫产程序的急症剖宫产则属于对照组(U组,n=45),回顾性分析两组临床资料。记录产妇入手术室至胎儿娩出时间,切皮至胎儿娩时间,产后24 h出血量、输血量,困难气道发生率,呕吐、误吸发生率,手术时间,麻醉时间,术后住院时间,是否转ICU,产褥期感染率及病死率。记录新生儿体重,产后1 min及5 min的Apgar评分,气管插管率,转NICU率及NICU的住院时间,病死率。结果 E组分娩孕周、入室至胎儿娩出时间、切皮至胎儿娩出时间、新生儿娩出1 min及5 min的Apgar评分明显低于U组(P0.05),产后24 h出血量、输血量及手术时间E组高于U组(P0.05)。新生儿气管插管率、转NICU率、NICU的住院时间、病死率及产妇术后住院时间、转ICU率、产褥感染率、病死率两组比较差异无统计学意义(P0.05)。结论 5 min紧急剖宫产为急危重孕产妇的抢救赢得时间,但与急症剖宫产相比,对母婴结局的转归并未有显著影响。
[Abstract]:Objective to investigate the effect of 5 min emergency cesarean section on maternal and infant outcome and anesthetic management strategy. Methods 90 patients with cesarean section were divided into two groups according to Lucas classification and 5 min emergency cesarean section procedure. The 5 min emergency cesarean section procedure was initiated in the emergency caesarean section group (group E). The emergency caesarean section group without the 5 min emergency cesarean section procedure was classified into the control group. The clinical data of the two groups were analyzed retrospectively. The time from entry into operation room to fetal delivery, from skin incision to fetal delivery, 24 hours postpartum blood loss, blood transfusion, difficult airway rate, vomiting, mis-aspiration, operation time, anesthesia time and postoperative hospitalization time were recorded. Whether to transfer to ICU, puerperium infection rate and mortality. The weight of the newborn, the Apgar score of 1 min and 5 min postpartum, the rate of tracheal intubation, the rate of conversion to NICU, the length of hospitalization and the mortality of NICU were recorded. Results the Apgar scores of 1 min and 5 min of newborn delivery in group E were significantly lower than those in group U (P 0.05). The blood loss, blood transfusion and operation time were significantly higher in group E than in group U at 24 h postpartum. There was no significant difference between the two groups in the rate of tracheal intubation, the rate of transfer to NICU, the length of hospitalization, the mortality, the rate of transfer to ICU, the rate of puerperal infection and the mortality of the two groups (P 0.05). Conclusion 5 min emergency cesarean section can win time for emergency delivery, but it has no significant effect on the outcome of mother and child compared with emergency cesarean section.
【作者单位】： 柳州市妇幼保健院麻醉科;
【基金】：柳州市科学研究与技术开发计划项目(编号:2015J030517)
【分类号】：R614
，

本文编号：1949390