目的 探討七氟醚復(fù)合羅庫溴銨全麻對剖宮產(chǎn)的有效性和安全性。方法 選擇需要擇期于全身麻醉下行剖官產(chǎn)術(shù)的產(chǎn)婦30例為全麻組，隨機(jī)選取同期硬膜外麻醉下?lián)衿谄蕦m產(chǎn)的產(chǎn)婦30例為對照組。全麻組采用七氟醚復(fù)合羅庫溴銨進(jìn)行誘導(dǎo)麻醉。對照組采用0.75%羅哌卡因進(jìn)行椎管內(nèi)麻醉。比較兩組產(chǎn)婦平均動(dòng)脈壓（MAP）、血氧飽和度（SpO2）、心率（HR）的情況，并記錄胎兒娩出1、5 min時(shí)新生兒Apgar評分。結(jié)果 全麻組產(chǎn)婦在手術(shù)切皮和胎兒娩出時(shí)MAP、HR較對照組高，兩組比較差異有統(tǒng)計(jì)學(xué)意義（P＜0.05）；其余觀察時(shí)間兩組患者M(jìn)AP、SpO2、HR比較差異均無統(tǒng)計(jì)學(xué)意義。兩組新生兒出生1、5min均無窒息情況發(fā)生，Apgar評分均在9分以上，新生兒娩出1、5 min時(shí)兩組Apgar評分比較差異無統(tǒng)計(jì)學(xué)意義。結(jié)論 七氟醚復(fù)合羅庫溴銨全麻對剖宮產(chǎn)的效果較好，對患者血流動(dòng)力學(xué)的影響較輕微，新生兒Apgar評分滿意，是剖宮產(chǎn)需全麻時(shí)比較安全的選擇。

Objective To investigate the efficacy and safety of general anesthesia induced by sevoflurane combined with rocuronium in the cesarean delivery. Methods Pregnant women undergone elective cesarean section with general anesthesia (30 cases) were as general anesthesia group. of pregnant women undergone epidural anesthesia (30 cases) were randomly selected to be the control group. Pregnant women in general anesthesia group were induced with sevoflurane and rocuronium. In the control group, the pregnant women were administered by spinal canal anesthesia with ropivacaine. MAP, SpO2, and HR of two groups were compared. Apgar scores of two groups were recorded after 1 and 5 min the children birthed. Results MAP and HR of the patients in general anesthesia group were obviously higher than those in the control group when the skin was cut and children birthed (P < 0.05). There was no difference in MAP, SpO2, and HR in the rest of the observation time between two groups. The newborn had no asphyxia after 1 and 5 min they birthed. Apgar scores were above 9 point, and there were no statistical significance between two groups. Conclusion Sevoflurane combined with rocuronium has an good effect on cesarean delivery, which can provide lesser impact on hemodynamics of pregnant women, and Apgar scores of newborn are satisfactory. It is a relatively safer choice for cesarean section.