Palot M, Visseaux H, Causse-Mariscal A, Daigremont-Botmans C
Département d'Anesthésie-Réanimation, CHU de Reims, 51092 Reims Cedex.
J Gynecol Obstet Biol Reprod (Paris). 2005 Apr;34 Spec No 1:3S242-5.
There is no specific study about consequences of smoking in anesthetized pregnant women. General anesthesia is mainly involved in adverse effects of smoking. Among smoking patients, there is a significant increase in the incidence of cardiac and respiratory complications during and after anaesthesia. Post operative anxiety increases in smokers patients. But smoking decreases the incidence of nausea and vomiting after surgery. It would be better if smoking cessation took place 2 months before surgery, it is necessary to stop smoking 12 hours before anaesthesia. For general anaesthesia, propofol and sevoflurane provide less respiratory complications than other drugs. If possible, regional anaesthesia is the best choice for smoking patients.
目前尚无关于麻醉状态下孕妇吸烟后果的具体研究。全身麻醉主要涉及吸烟的不良影响。在吸烟患者中，麻醉期间及麻醉后心脏和呼吸并发症的发生率显著增加。吸烟患者术后焦虑情绪会增加。但吸烟会降低术后恶心和呕吐的发生率。如果能在手术前2个月戒烟则更好，麻醉前12小时必须停止吸烟。对于全身麻醉，丙泊酚和七氟醚引起的呼吸并发症比其他药物少。如果可能的话，区域麻醉是吸烟患者的最佳选择。
