孕妇和产后的胃
Neel Desai1, Jacob Lawson, Francesca Elwen
1From the Department of Anaesthesia, Guy's and St Thomas' NHS Foundation Trust, London, UK (ND, JL, FE), the Department of Anaesthesia, Rotunda Hospital, Dublin, Ireland (RH), King's College London, London, UK (ND).
European journal of anaesthesiology
|November 19, 2025
概括
胃超声波是妇产科的一个有价值的工具,特别是在剖腹产分娩. 它有助于评估胃排空和胃含量,以指导麻醉决策,并提高劳动和分娩期间的患者安全.
科学领域:
- 产科和麻醉学 产科和麻醉学
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 肺吸气风险与胃含量,食道下功能和呼吸道反射有关.
- 怀孕不会改变基底胃分泌或酸度.
- 在怀孕早期,胃排水是延迟的,但在晚期或分娩后的三个月并非如此.
研究的目的:
- 审查胃超声波在产科麻醉中的作用.
- 为指导在怀孕和非怀孕妇女的胃超声检查结果的解释.
- 为了告知剖腹产和分娩的麻醉管理.
主要方法:
- 审查关于怀孕和分娩期间胃空化的证据.
- 胃超声技术的描述 (指示,获取,解释,管理 - I-AIM框架).
- 胃内容的定性 (佩拉斯系统) 和定量评估.
主要成果:
- 碳水化合物饮料和"Sip Til Send"并没有对胃的大小产生负面影响.
- 在分娩过程中,外周止痛可改善胃空气,但不能达到非孕妇水平.
- 胃超声波可以识别高风险的胃内容,影响剖腹产麻醉选择.
结论:
- 清晰的液体在分娩中可能是安全的;固体食物摄入仍然是一个问题.
- 胃超声波对于评估产科患者的吸收风险至关重要.
- 超声波的发现可以指导推迟剖腹产或选择麻醉技术的决定.
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