摘要：目的:观察瑞芬太尼应用于剖宫产全麻时对产妇及新生儿的影响。方法:足月妊娠剖宫产30例, 分为瑞芬太尼全麻组15例(R组) 和对照全麻组15例(C组),观察母体的血流动力学变化及苏醒时间,及胎儿娩出后的Apgar评分。结果:两组麻醉过程血流动力学参数、苏醒时间有显著差异( P < 0.015) ; 新生儿Apgar评分无显著性差异(P>0.015) 。结论:瑞芬太尼用于产科全麻诱导平稳, 苏醒迅速, 对新生儿无明显副作用。

    关键词： 瑞芬太尼； 剖宫产； 全 麻； Apgar评分

    Application of Remifentanil in General Anesthesiain in Cesarean Section

    ZHAO Zhi-bin, WU Yong

    (The First People's Hospital of Lianyungang, Jiangsu Lianyungang 222002, China)

    Abstract： Objective: Observing the effect of general anesthesia (GA) with remifentanil on parturients undergoing cesarean section and Apgar score of newborn.Method:30 parturients were divided into two groups, one combined remifentanil(group R, n=15)and the other standard (group C, n=15).Observe the change of hemodynamics parameter and the recovery time and Apgar score of newborn. Result: There were significant difference of hemodynamics parameter and the recovery time in the both groups(P<0.015) and no significant difference of score of child between the groups(P>0.015). Conclusion:When remifentanil is used in the general anesthesiain in cesarean section, its inducing is smoothly,the recovery is quickly,it is no significant bad effect on the newborn. ......