本文選題：min緊急剖宮產(chǎn) + 母嬰結(jié)局　； 參考：《廣東醫(yī)學(xué)》2017年18期

【摘要】：目的探討5 min緊急剖宮產(chǎn)對(duì)母嬰結(jié)局的影響及麻醉管理策略。方法選擇剖宮產(chǎn)術(shù)分娩的患者90例,根據(jù)Lucas分類法及是否啟動(dòng)5 min緊急剖宮產(chǎn)程序分為兩組,啟動(dòng)5 min緊急剖宮產(chǎn)程序的為緊急剖宮產(chǎn)組(E組,n=45),沒有啟動(dòng)5 min緊急剖宮產(chǎn)程序的急癥剖宮產(chǎn)則屬于對(duì)照組(U組,n=45),回顧性分析兩組臨床資料。記錄產(chǎn)婦入手術(shù)室至胎兒娩出時(shí)間,切皮至胎兒娩時(shí)間,產(chǎn)后24 h出血量、輸血量,困難氣道發(fā)生率,嘔吐、誤吸發(fā)生率,手術(shù)時(shí)間,麻醉時(shí)間,術(shù)后住院時(shí)間,是否轉(zhuǎn)ICU,產(chǎn)褥期感染率及病死率。記錄新生兒體重,產(chǎn)后1 min及5 min的Apgar評(píng)分,氣管插管率,轉(zhuǎn)NICU率及NICU的住院時(shí)間,病死率。結(jié)果 E組分娩孕周、入室至胎兒娩出時(shí)間、切皮至胎兒娩出時(shí)間、新生兒娩出1 min及5 min的Apgar評(píng)分明顯低于U組(P0.05),產(chǎn)后24 h出血量、輸血量及手術(shù)時(shí)間E組高于U組(P0.05)。新生兒氣管插管率、轉(zhuǎn)NICU率、NICU的住院時(shí)間、病死率及產(chǎn)婦術(shù)后住院時(shí)間、轉(zhuǎn)ICU率、產(chǎn)褥感染率、病死率兩組比較差異無統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論 5 min緊急剖宮產(chǎn)為急危重孕產(chǎn)婦的搶救贏得時(shí)間,但與急癥剖宮產(chǎn)相比,對(duì)母嬰結(jié)局的轉(zhuǎn)歸并未有顯著影響。
[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.
【作者單位】： 柳州市婦幼保健院麻醉科;
【基金】：柳州市科學(xué)研究與技術(shù)開發(fā)計(jì)劃項(xiàng)目(編號(hào):2015J030517)
【分類號(hào)】：R614
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本文編號(hào)：1949390