本文選題：全身麻醉 + 椎管內(nèi)神經(jīng)阻滯　； 參考：《安徽醫(yī)學(xué)》2016年07期

【摘要】：目的以剖腹產(chǎn)新生兒Apgar評(píng)分為基準(zhǔn),研究全身麻醉對(duì)新生兒的影響,探討能夠用于剖腹產(chǎn)的安全、有效、快捷的麻醉方法。方法計(jì)算機(jī)檢索中國(guó)學(xué)術(shù)期刊全文數(shù)據(jù)庫(kù)、維普中文科技期刊數(shù)據(jù)庫(kù)和萬(wàn)方數(shù)據(jù)庫(kù),收集全身麻醉用于剖腹產(chǎn)的回顧性病例對(duì)照研究,試驗(yàn)組為全身麻醉組,對(duì)照組為椎管內(nèi)神經(jīng)阻滯麻醉組。檢索時(shí)限的截止日期為2015年10月12日。由2名研究人員按照納入和排除標(biāo)準(zhǔn)獨(dú)立篩選文獻(xiàn)、評(píng)價(jià)納入文獻(xiàn)的質(zhì)量并提取資料,采用RevMan 5.3軟件對(duì)提取的數(shù)據(jù)進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果納入32個(gè)回顧性病例對(duì)照研究,均為中文文獻(xiàn),包括試驗(yàn)組1 289例和對(duì)照組1 887例,研究對(duì)象均為ASA Ⅰ-Ⅱ級(jí)的孕產(chǎn)婦。meta分析結(jié)果顯示:(1)新生兒1 min Apgar評(píng)分影響的meta分析顯示,全身麻醉與椎管內(nèi)神經(jīng)阻滯麻醉的差別有統(tǒng)計(jì)學(xué)意義(MD=-0.18,P=0.009),椎管內(nèi)神經(jīng)阻滯麻醉對(duì)剖腹產(chǎn)新生兒1 min Apgar評(píng)分的影響更小;(2)新生兒5 min Apgar評(píng)分影響的meta分析顯示,全身麻醉與椎管內(nèi)神經(jīng)阻滯麻醉的差別無(wú)統(tǒng)計(jì)學(xué)意義(MD=0.00,P=1.00);(3)I-D時(shí)間的meta分析顯示,全身麻醉組的I-D時(shí)間較椎管內(nèi)神經(jīng)阻滯麻醉組短,全身麻醉具有明顯的優(yōu)勢(shì)(MD=-9.04,P0.001)。結(jié)論全身麻醉與椎管內(nèi)神經(jīng)阻滯麻醉對(duì)新生兒Apgar評(píng)分的影響的差異仍然不明確,但是全身麻醉用于剖腹產(chǎn)手術(shù)在娩出胎兒時(shí)間上有明顯的優(yōu)勢(shì)。
[Abstract]:Objective to study the effect of general anesthesia on newborn based on Apgar score of caesarean section and to explore a safe, effective and rapid anesthesia method for caesarean section. Methods the full text database of Chinese academic journals, the database of Chinese scientific and technological journals of Weipu and the database of Wanfang were searched by computer, and a retrospective case-control study of general anesthesia for caesarean section was collected. The experimental group was used as general anesthesia group. The control group was treated with intraspinal nerve block anesthesia. The deadline for retrieval is October 12, 2015. According to the inclusion and exclusion criteria, two researchers independently sifted the literature, evaluated the quality of the included literature and extracted the data, and analyzed the extracted data by RevMan 5.3 software. Results 32 retrospective case-control studies were conducted, all of which were Chinese literature, including 1 289 cases in the trial group and 1 887 cases in the control group. The results of meta-analysis of pregnant women with ASA grade 鈪，

本文編號(hào)：1846022