先天性心臟病產(chǎn)婦剖宮產(chǎn)術(shù)中的母嬰臍帶血血?dú)夥治?/H1>
發(fā)布時(shí)間：2018-02-25 03:18
本文關(guān)鍵詞： 腰硬聯(lián)合麻醉 妊娠合并先天性心臟病 臍帶血?dú)?/strong> 出處：《上海交通大學(xué)》2014年碩士論文 論文類型：學(xué)位論文
【摘要】：背景：妊娠合并心臟病是中國(guó)孕產(chǎn)婦非直接產(chǎn)科死因的第1位，妊娠合并先天性心臟病的產(chǎn)婦，其胎兒和新生兒的并發(fā)癥發(fā)生率和死亡率很高。但目前并沒(méi)有確切研究表明，在擇期的腰硬聯(lián)合麻醉（CSE）剖宮產(chǎn)手術(shù)中，合并先心病的產(chǎn)婦和健康產(chǎn)婦，兩者的臍帶血血?dú)庵涤袩o(wú)差異。本研究，，意在比較兩者的臍帶血酸堿狀態(tài)和血?dú)庵怠?方法：我們選擇宮內(nèi)足月單胎妊娠的擇期腰硬聯(lián)合麻醉（CSE）下的剖宮產(chǎn)手術(shù)患者。將病例分為兩組：健康產(chǎn)婦組（H組）和合并先天性心臟病的產(chǎn)婦組（CHD組）。胎兒娩出后即刻，抽取臍動(dòng)、靜脈血并行血?dú)夥治�。血�(dú)庵挡捎梅纸Mt檢驗(yàn)分析。 結(jié)果：H組44名產(chǎn)婦和CHD組33名產(chǎn)婦最終入組。CHD組的臍動(dòng)脈血pH，BE和HCO-3(pH7.29±0.05，BE-1.4±1.9mmol/L，HCO-321.5±1.4mmol/L)明顯低于H組(pH7.33±0.03，BE-0.1±2.1mmol/L，HCO-322.5±1.4mmol/L)。 結(jié)論：臍動(dòng)脈血pH，BE和HCO-3在妊娠合并先天性心臟病的產(chǎn)婦接受腰硬聯(lián)合麻醉下?lián)衿谄蕦m產(chǎn)時(shí)，明顯低于健康產(chǎn)婦。
[Abstract]:Background: pregnancy complicated with heart disease is China maternal non direct obstetric death first, congenital heart disease with pregnancy women, the fetal and neonatal morbidity and mortality is very high. But there is no exact research shows that in the elective spinal epidural anesthesia (CSE) cesarean section, maternal congenital heart disease with and maternal health, there is no difference between the umbilical cord blood gas values. This study aims to compare the umbilical cord blood pH and blood gas values.
Methods: We selected full-term singleton pregnancies undergoing intrauterine combined spinal epidural anesthesia (CSE) in cesarean section patients. The patients were divided into two groups: healthy parturient group (H group) and congenital heart disease with maternal group (group CHD). Immediately after delivery of fetus, umbilical artery blood gas extraction. Analysis of blood gas values in parallel. Using group t test analysis.
Results: in group H, 44 maternal and CHD group 33 puerperal women were finally enrolled in group.CHD, and the umbilical artery blood pH, BE and HCO-3 (pH7.29 + 0.05, BE-1.4 + 1.9mmol/L, HCO-321.5 + 1.4mmol/L) were significantly lower than those in the group of.CHD.
Conclusion: the umbilical artery blood pH, BE and HCO-3 in pregnant women with congenital heart disease undergoing selective cesarean section under combined spinal epidural anesthesia are significantly lower than those of healthy mothers.
【學(xué)位授予單位】：上海交通大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R614
【參考文獻(xiàn)】
相關(guān)期刊論文 前1條
1 張蕾;杜莉;秦敏;朱麗萍;;上海市1991～2010年妊娠合并心臟病死亡情況分析[J];中國(guó)婦幼保健;2012年28期
本文編號(hào)：1532805
本文鏈接：http://sikaile.net/yixuelunwen/mazuiyixuelunwen/1532805.html
本文關(guān)鍵詞： 腰硬聯(lián)合麻醉 妊娠合并先天性心臟病 臍帶血?dú)?/strong> 出處：《上海交通大學(xué)》2014年碩士論文 論文類型：學(xué)位論文
【摘要】：背景：妊娠合并心臟病是中國(guó)孕產(chǎn)婦非直接產(chǎn)科死因的第1位，妊娠合并先天性心臟病的產(chǎn)婦，其胎兒和新生兒的并發(fā)癥發(fā)生率和死亡率很高。但目前并沒(méi)有確切研究表明，在擇期的腰硬聯(lián)合麻醉（CSE）剖宮產(chǎn)手術(shù)中，合并先心病的產(chǎn)婦和健康產(chǎn)婦，兩者的臍帶血血?dú)庵涤袩o(wú)差異。本研究，，意在比較兩者的臍帶血酸堿狀態(tài)和血?dú)庵怠?方法：我們選擇宮內(nèi)足月單胎妊娠的擇期腰硬聯(lián)合麻醉（CSE）下的剖宮產(chǎn)手術(shù)患者。將病例分為兩組：健康產(chǎn)婦組（H組）和合并先天性心臟病的產(chǎn)婦組（CHD組）。胎兒娩出后即刻，抽取臍動(dòng)、靜脈血并行血?dú)夥治�。血�(dú)庵挡捎梅纸Mt檢驗(yàn)分析。 結(jié)果：H組44名產(chǎn)婦和CHD組33名產(chǎn)婦最終入組。CHD組的臍動(dòng)脈血pH，BE和HCO-3(pH7.29±0.05，BE-1.4±1.9mmol/L，HCO-321.5±1.4mmol/L)明顯低于H組(pH7.33±0.03，BE-0.1±2.1mmol/L，HCO-322.5±1.4mmol/L)。 結(jié)論：臍動(dòng)脈血pH，BE和HCO-3在妊娠合并先天性心臟病的產(chǎn)婦接受腰硬聯(lián)合麻醉下?lián)衿谄蕦m產(chǎn)時(shí)，明顯低于健康產(chǎn)婦。
[Abstract]:Background: pregnancy complicated with heart disease is China maternal non direct obstetric death first, congenital heart disease with pregnancy women, the fetal and neonatal morbidity and mortality is very high. But there is no exact research shows that in the elective spinal epidural anesthesia (CSE) cesarean section, maternal congenital heart disease with and maternal health, there is no difference between the umbilical cord blood gas values. This study aims to compare the umbilical cord blood pH and blood gas values.
Methods: We selected full-term singleton pregnancies undergoing intrauterine combined spinal epidural anesthesia (CSE) in cesarean section patients. The patients were divided into two groups: healthy parturient group (H group) and congenital heart disease with maternal group (group CHD). Immediately after delivery of fetus, umbilical artery blood gas extraction. Analysis of blood gas values in parallel. Using group t test analysis.
Results: in group H, 44 maternal and CHD group 33 puerperal women were finally enrolled in group.CHD, and the umbilical artery blood pH, BE and HCO-3 (pH7.29 + 0.05, BE-1.4 + 1.9mmol/L, HCO-321.5 + 1.4mmol/L) were significantly lower than those in the group of.CHD.
Conclusion: the umbilical artery blood pH, BE and HCO-3 in pregnant women with congenital heart disease undergoing selective cesarean section under combined spinal epidural anesthesia are significantly lower than those of healthy mothers.
【學(xué)位授予單位】：上海交通大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R614
【參考文獻(xiàn)】
相關(guān)期刊論文 前1條
1 張蕾;杜莉;秦敏;朱麗萍;;上海市1991～2010年妊娠合并心臟病死亡情況分析[J];中國(guó)婦幼保健;2012年28期
本文編號(hào)：1532805
本文鏈接：http://sikaile.net/yixuelunwen/mazuiyixuelunwen/1532805.html
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