[1997年联邦德国剖宫产手术的麻醉。一项全国性调查的结果]

[Anesthesia in cesarean section in the FRG in 1997. Results of a nationwide survey].

作者信息

Schneck H, Wagner R, Scheller M, von Hundelshausen B, Kochs E

机构信息

Institut für Anaesthesiologie der Technischen Universität München, Klinikum rechts der Isar.

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 1998 Aug;33(8):489-96. doi: 10.1055/s-2007-994796.

DOI:10.1055/s-2007-994796

PMID:9746844

Abstract

A survey of all German hospitals providing obstetric anaesthesia in 1997 (n = 1061, recovery rate 82% comprising 115,000 Caesarean sections revealed that most Caesarean sections (CS) are performed under general anaesthesia (GA). For elective CS, the average was 63%, and 82% for urgent (non-emergency) section. Succinylcholine is the standard neuromuscular blocker for intubation. Of the regional techniques, epidural continuous anaesthesia (ED) is preferred for elective CS (59%) over subarachnoid (SA, 10%) and combined epidural and subarachnoid anaesthesia (CSE). In urgent CS, SA is used more often (56%) than ED (42%) and CSE. With increasing number of births per year, the use of regional techniques is more common.

摘要

1997年对德国所有提供产科麻醉服务的医院进行了一项调查（n = 1061，回收率82%，包括115,000例剖宫产），结果显示大多数剖宫产（CS）是在全身麻醉（GA）下进行的。对于择期剖宫产，这一比例平均为63%，而紧急（非急诊）剖宫产为82%。琥珀酰胆碱是插管的标准神经肌肉阻滞剂。在区域麻醉技术中，择期剖宫产时硬膜外持续麻醉（ED）（59%）比蛛网膜下腔麻醉（SA，10%）和腰麻硬膜外联合麻醉（CSE）更受青睐。在紧急剖宫产中，蛛网膜下腔麻醉（56%）比硬膜外持续麻醉（42%）和腰麻硬膜外联合麻醉使用得更频繁。随着每年出生人数的增加，区域麻醉技术的使用更为普遍。