腰硬联合麻醉在剖宫产术中的应用

Application of Combined Spinal Epidural Anesthesia in Cesarean Section

目的探讨腰硬联合麻醉在剖宫产手术中的可行性。方法选择200例ASA I ~II级需行剖宫术的产妇,随机分为腰硬联合麻醉(CSEA)和连续硬膜外麻醉(EA)。术中观察两组麻醉效果、血流动力学指标、新生儿Apgar评分及不良反应。结果两组麻醉方法血流动力学指标及新生儿Apgar评分无显著性差异。麻醉效果CSEA明显优于EA组,手术开始时间及胎儿娩出CSEA组明显快于EA组。不良反应比较两组亦无显著性差异。结论 CSEA组起效快,阻滞完善,麻醉效果明显优于耘粤组,可以做为剖宫产手术比较理想的麻醉方法。

Objective To investigate the feasibility of combined spinal epidural anesthesia in caesarean operation.Methods 200 cases of maternal ASA I^II required a cesarean section,were randomly divided into combined spinal epidural anesthesia(CSEA)and continuous epidural anesthesia(EA).Observed two groups of anesthesia,hemodynamics,neonatal Apgar score and adverse reaction in operation.Results There were no significant differences between two groups of anesthesia hemodynamic index and Apgar score of newborn.Anesthetic ef ect of CSEA was superior to EA group,operation time and the fetus in group CSEA was significantly faster than that of EA group.The adverse reaction between the two groups had no significant dif erence.Conclusion CSEA group has a rapid onset,complete block,anesthesia effect is obviously better than that of EA group,can be used as anesthesia for cesarean section operation ideal.