王群英， 刘新伟^*

（  重庆医科大学附属第一医院；  ）

摘要： 目的：探讨瑞芬太尼用于产科麻醉诱导对产妇及新生儿的影响。方法：选择我院行剖宫产手术并且必须行全身麻醉的产妇70例，随机分为A组（对照组）和B组（瑞芬太尼诱导组）。监测患者入室（T0）、切皮（T1）、气管插管（T2）和拔管（T3）四个时间点两组产妇血流动力学情况、所有新生儿出生时Apgar评分情况。结果：切皮、插管两个时间点，A组患者血压、心率明显低于B组患者，拔管时两组患者血压、心率比较差异无统计学意义。两组新生儿Apgar评分差异无统计学意义。结论：瑞芬太尼麻醉诱导平稳，且对新生儿Apgar评分无影响，因此，瑞芬太尼可以安全的用于产科全麻麻醉诱导。
关键词： 全麻；瑞芬太尼；剖宫产；Apgar评分

WangQunying^1,， Liu Xinwei^2,*

（  1、The first Affiliated Hospital of Chongqing Medical University；       2、The first Affiliated Hospital of Chongqing Mdeical University；  ）

Abstract： objective: To investigate the impact of the remifentanil in the pregnant women and the new born baby when remifentanils used in the pregnant women thant must undergo general anesthesia Methods: Seventy patient who came to our hospital and must undergo general anesthsia were broughy into this study. All the patients were completely randomly assigned to 2 different groups:Group A(Control group) and group B(Remifentanil group). We record all the patietnts hemodynamic changes in different point of times: getting into the operation room(T0),skin incision(T1), intubation(T2) and extubation(T3) and also record all the new born babies' Apgar scores.Results: After the patient getting into the operation room and during extubation,there were no significant differences of the parameters of hemodynamic changes. During skin incision and intubation, the values of the heart rate(HR), systolic blood pressure(SBP) and diastolic blood pressure(DBP) in group A were significantly higher than those in group B(P＜0.05). And there were no singnificant differences among all the new born babies' Apgar scores.Conclusion:The caerean section induced by remifentanil is more stable and have no significant impact on the new born babies, and remifentanil can be safetly used in caerean section.
Keywords： General anesthesia;Remifentanil;Caerean section;Apgar scores

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