Siafaka I, Vadalouca A, Gatziou B, Petropoulos G, Salamalekis E
Department of Anaestesia, Areteion Hospital, University of Athens, Greece.
Clin Exp Obstet Gynecol. 1992;19(2):93-6.
Twenty women for elective caesarean section received either propofol 2.3 mg/kgr or thiopental 4.4 mg/kgr for induction of general anaesthesia. Maintainance was similar for both groups. Mean arterial pressure and heart rate were recorded non-invasively before anaesthesia, during intubation, one and five minutes after intubation. There were no significant differences in haemodynamic response between the two groups. During intubation heart rate rose in both groups, but remained increased five minutes after tracheal intubation only in the thiopental treated women (p less than 0.05). There was no significant neonatal depression as assessed by Apgar Scores and blood gas analyses. Propofol appears to be a suitable alternative to thiopental as an induction agent for obstetric anaesthesia.
20名择期剖宫产的女性接受了丙泊酚2.3毫克/千克或硫喷妥钠4.4毫克/千克用于全身麻醉诱导。两组的维持方式相似。在麻醉前、插管期间、插管后1分钟和5分钟无创记录平均动脉压和心率。两组之间的血流动力学反应无显著差异。插管期间两组心率均升高,但仅硫喷妥钠治疗组在气管插管后5分钟心率仍升高(p<0.05)。通过阿氏评分和血气分析评估,未发现明显的新生儿抑制。丙泊酚似乎是硫喷妥钠作为产科麻醉诱导剂的合适替代品。