文档介绍：咪达哇仑在剖宫产术中镇静120例临床观察【摘要】目的探讨剖宫产术前咪达哇仑不同镇静深度的用药量对新生儿和产妇的影响。方法120例硬膜外麻醉择期剖宫产术持续硬膜外麻醉,术前辅助咪达嗟仑镇静至0AA/S深度IV、III、II级,根据镇静深度分为A、B、C、D四组,每组30例,D组为空白对照组。统计各组咪达喳仑的平均用量,及用药前后病人血压、心率、脉搏血氧饱和度、Et-C02的变化,烦躁发生率及术后遗忘率,并观察新生儿的Apgar和术后Id的新生儿神经与适应能力(NACS)评分。结果随咪达哇仑镇静深度增加,新生儿Apgar评分有剂量相关性影响,产妇SP02T降率增加,ET-CO2增加,遗忘率增加,产妇心率下降,术后产妇睡眠不良发生率减少。术后Id的NACS无明显差异。结论咪达喳仑作为剖宫产术前硬膜外麻醉镇静,将镇静深度控制在OAA/SIII-IV级,比较安全,有效减少恶性记忆,对新生儿影响小。【关键词】咪达嗟仑剖宫产镇静中图分类号:R614文献标识码:A文章编号:1005-0515(2011)7-051-02[Abstract】goaltoresearchtheinfluenceonnewbornandparturientwomanwithdifferentquantityofthecollectedmedicinebeforec--section,usetheanesthetictoanesthesiatheparturientwomanatadepthoflevelIV、III、II,andformfourteams:ABCD,everyteamhas30example,,andalsotogetthepatient?sBloodpressure,heartrate,pulsebloodoxygendegreeofsaturation,changesofEt~CO2,ettingafterthesurgery,observingtheApgarscoreofnewborns,andadaptivecapacityscore(NACS)1dayafteroperationPhenomenonTheApgarscoreofnewbornshasrelevantinfluencewithdifferentdepthofanesthetic,therateofparturientwoman?sSP02dropreduced,ET-C02added,forgettingrateincreased,parturientwoman?sheartratedropped,parturientwoman'urrencesratedecreased,andadaptivecapacityscore(NACS)-