蛛网膜下腔-硬膜外联合麻醉与蛛网膜下腔阻滞在剖宫产术中的临床疗效

The Comparison of Clinical Effects of combined Spinal-epidural Anesthesia and Spinal Anesthesia Respectively in Caesarean Section

目的比较蛛网膜下腔-硬膜外联合麻醉与蛛网膜下腔阻滞在剖宫产术中的临床疗效。方法将2019年1月至2019年12月接受剖宫产术的患者92例随机均分为联合组和对照组,各46例,分别采用蛛网膜下腔-硬膜外联合麻醉及蛛网膜下腔阻滞进行麻醉,比较效果。结果与麻醉诱导前相比,手术期间患者的SBP、DBP和HR等血流动力学指标先降低后恢复至正常水平,对照组变化幅度较大;术后1 h、2 h和6 h,联合组患者疼痛水平均较低;联合组有较好的母婴结局(P<0.05);而其他指标未发现明显差异(P>0.05)。结论剖宫产术中,蛛网膜下腔-硬膜外联合麻醉的麻醉效果较为理想。

Objective To investigate the effects of anesthesia by combined spinal-epidural anesthesia (CSEA) and spinal anesthesia respectively during caesarean section.Methods A total of 92 patients were enrolled in our hospital from January 2019 to December 2019.Patients were randomly divided into CSEA group and control group,46 in each,and then the two groups of patients were treated with CSEA and spinal anesthesia respectively.Compare the effects of two anesthetic methods.Results Compared to the level before induction of anesthesia,the SBP,DBP and HR of the patients were all reduced to a certain extent,and then gradually increased to normal level,but the control group decreased even significantly (P<0.05).The CSEA group showed the lower VAS scores at 1 h,2 h and 6 h post operation and more ideal maternal and neonatal outcomes(P<0.05).There were no significant differences between the other indicators (P>0.05).Conclusion CSEA induced a better effect during caesarean section.