Sezaryen ile Doğurtulan Bebeklerin Apgar Skoru, Troid ve Karaciğer Fonksiyonları Üzerine Genel ve Spinal Anestezinin Etkileri

Amaç: Çalışmamızda, genel ve spinal anestezi uygulanarak elektif sezaryen ile doğurtulanbebeklerin troid ve karaciğer fonksiyonlarının karşılaştırılması amaçlandı.Yöntem: Çalışmaya yaşları 18 – 40 arası 60 gebe alındı. Olgular indüksiyonda propofol vetiyopental uygulanan ile spinal anestezi uygulanan grup olarak üçe ayrıldı. Propofol grubuna,indüksiyonda 2 mg/kg propofol, 0,6 mg/kg roküronyum uygulandıktan sonra, tiyopental grubunaindüksiyonda 4–5 mg/kg tiyopental, 0,6 mg/kg roküronyum uygulandıktan sonra entübasyongerçekleştirildi. İki grupta da anestezi idamesi sevofluran ile sağlandı. Spinal anestezi grubunaintratekal bupivakain verilerek spinal anestezi uygulandı. Gebelerin 0, 5, 10, 15, 20, 25, 30, 35,40, 45. dakikalardaki maternal hemodinamik parametreleri kaydedildi. Bebeklerin doğumunun5. gününde, troid ve karaciğer fonksiyonlarına bakıldı.Bulgular: Tiyopental uygulanan gebelerin bebeklerinde, FT3 düzeyleri anlamlı olarak düşükbulundu (p

Anahtar Kelimeler:

Apgar skoru, entübasyon, indüksiyon, propofol, tiyopental

The Effects of General and Spinal Anesthesia on Apgar scores, thyroid and liver functions of babies delivered with Cesarean Section

Purpose: In our study we aimed to compare the Apgar scores, thyroid and liver functions ofneonates, who were delivered with elective caesarean section undergoing general anesthesia orspinal anesthesia.Methods: 60 patients with age 18–40 were included. Patients were randomized in 3 groups:general anesthesia inducted with propofol or with thiopenthal or spinal anesthesia. In propofolgroup induction was perf ormed with propofol 2 mg/kg and rocuronium 0,6 mg/kg and thenpatients were intubated. In thiopenthal group induction was performed with thiopental 4–5mg/kg and rocuronium 0,6 mg/kg and then patients were intubated. In both groups anesthesiamaintenance was provided with sevoflurane. In spinal anesthesia group, spinal anesthesia wasperformed with bupivacaine intrathecally. In all 3 groups maternal haemodynamic parametersat zero, 5, 10, 15, 20, 25, 30, 35, 40, 45 th minutes were recorded. When the neonate is 5 daysold, tyroid functions and liver functions were evaluated.Results: In thiopenthal group, FT3 values of neonates were significantly decreased (p

Keywords:

Apgar score, induction, intubation, propofol, thiopental,

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