mvjrМедицинский вестник Юга РоссииMedical Herald of the South of Russia2219-80752618-7876The Rostov State Medical University10.21886/2219-8075-2019-10-3-18-23mvjr-885Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESВлияние вариантов индукции общей анестезии при плановом абдоминальном родоразрешении на состояние новорожденныхInfluence of the options for the induction of general anesthesia for elective abdominal delivery on condition of newbornshttps://orcid.org/0000-0003-4683-0109БирюковА. Н.BiryukovA. N.

Бирюков Алексей Николаевич - начальник отделения анестезиологии и реанимации клиники термических поражений и пластической хирургии.

Alexey N. Biryukov - Head of anesthesiology and intensive care unit of the clinic of thermal injuries and plastic surgery.

St. Petersburg

birukov1982@gmail.comhttps://orcid.org/0000-0003-2289-6867КлимовА. Г.KlimovA. G.

Климов Алексей Григорьевич - д.м.н., доцент, профессор кафедры анестезиологии и реаниматологии.

Alexey G. Klimov - Doctor of medicine, Professor, Professor of the Department of anesthesiology and intensive care.

St. Petersburg

alexklim1957@mail.ruhttps://orcid.org/0000-0002-9572-6802ЕршовЕ. Н.ErshovE. N.

Ершов Евгений Николаевич - к.м.н., преподаватель кафедры анестезиологии и реаниматологии.

Evgeniy N. Ershov - Candidate of Medical Sciences, Teacher of the Department of anesthesiology and intensive care.

St. Petersburg

ershov.en@gmail.comПащенкоО. В.PashchenkoO. V.

Пащенко Олег Васильевич - к.м.н., доцент, заведующий отделением анестезиологии и реанимации клиники акушерства и гинекологии.

Oleg V. Pashchenko - Candidate of Medical Sciences, Professor, Head of anesthesiology and intensive care unit of the clinic of obstetrics and gynecology.

St. Petersburg

pov60@mail.ruВоенно-медицинская академия имени С.М. КироваРоссияS.M. Kirov Military Medical AcademyRussian Federation2019111020191031823Copyright © Бирюков А.Н., Климов А.Г., Ершов Е.Н., Пащенко О.В., 20192019Бирюков А.Н., Климов А.Г., Ершов Е.Н., Пащенко О.В.Biryukov A.N., Klimov A.G., Ershov E.N., Pashchenko O.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.medicalherald.ru/jour/article/view/885Цель

Цель: оценить и сравнить влияние вариантов индукции общей анестезии при плановом абдоминальном родоразрешении на состояние новорожденных.

Материалы и методы

Материалы и методы: в исследование включено 160 новорожденных, родившихся с помощью операции кесарева сечения, проводимой в плановом порядке в условиях общей анестезии. Все новорожденные разделены на 4 группы, по 40 в каждой, в зависимости от используемых анестетиков при индукции общей анестезии. В 1-й группе использовали тиопентал натрия 5 мг/кг; во 2-й – тиопентал натрия 7 мг/кг; в 3-й – пропофол 2,5 мг/кг; в 4-й – тиопентал натрия 5 мг/кг с севофлураном (0,5 МАК). Влияние анестезии на состояние новорожденных оценивали с помощью шкалы Апгар и шкалы оценки неврологической и адаптивной способности NACS.

Результаты

Результаты: не выявлено статистически значимых различий при оценке новорожденных по шкалам.

Выводы

Выводы: все исследуемые препараты и их дозы, используемые для проведения индукции общей анестезии при плановом абдоминальном родоразрешении, не оказывают негативного влияния на неврологический и соматический статус новорожденного.

Objective

Objective: to evaluate and compare the influence of the options for the induction of general anesthesia for elective abdominal delivery on the condition of newborns. 

Materials and Methods

Materials and Methods: The study included 160 newborns, which were born via elective cesarean section under general anaesthesia. All newborns were divided into 4 groups, 40 in each, depending on the anesthetics used for the induction of general anesthesia. In the 1st group, thiopental sodium 5 mg/kg was used; in the 2nd - sodium thiopental 7 mg/kg; in the 3rd - propofol 2,5 mg/kg; in the 4th- sodium thiopental 5 mg/kg with sevoflurane (0,5 MAC). The influence of anesthesia on condition of newborns was evaluated by the Apgar scale and the neurological and adaptive capacity scale NACS.

Results

Results: statistically significant differences were not found in assessing newborns on scales. 

Conclusion

Conclusion: All the researched drugs and their doses used for the induction of general anesthesia during elective abdominal delivery do not adversely effect on the neurological and somatic status of the newborn.

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The authors declare that there are no conflicts of interest present.