Loughran P G, Moore J, Dundee J W
Br J Obstet Gynaecol. 1986 Sep;93(9):943-9. doi: 10.1111/j.1471-0528.1986.tb08013.x.
The maternal stress response to caesarean delivery with either general or epidural anaesthesia was investigated. Patients given a general anaesthetic showed statistically significant increases in blood pressure, heart rate, and levels of plasma catecholamines, cortisol and glucose. Epidural anaesthesia, to at least the T6 dermatome, obtunded these responses. The significance of these findings to the choice of method of anaesthesia is discussed.
研究了产妇在全身麻醉或硬膜外麻醉下剖宫产时的应激反应。接受全身麻醉的患者血压、心率以及血浆儿茶酚胺、皮质醇和葡萄糖水平在统计学上有显著升高。硬膜外麻醉至少到T6皮节可减弱这些反应。讨论了这些发现对麻醉方法选择的意义。
