腰-硬联合麻醉用于剖宫产术的临床观察

Clinical Observation on Combined Spinal-epidural Anesthesia in Cesarean Section

目的:比较腰-硬联合麻醉(CSEA)和硬膜外麻醉(CEA)在剖宫产术的临床效果。方法:随机将无妊娠合并症的60例产妇,随机分为腰一硬联合麻醉组和硬膜外麻醉组。观察两组病例的阻滞情况,镇痛和肌松情况,不良反应、新生儿评分情况。结果:腰硬联合麻醉起效快,运动阻滞效果好,镇痛和肌松效果好,不良反应少与硬膜外麻醉比较差异有显著性(P<0.05),新生儿评分两组间无统计学差异(P>0.05)。结论:腰一硬联合麻醉可为产科手术提供快速、良好的止痛和肌松,是目前产科手术理想的麻醉方法。

Objective： To compare the clinical effect of combined spinal - epidural anesthesia （ CSEA ） and continuous epidural anesthesia （CEA） on cesarean section. Method： 60 cases were divided into CSEA and CEA group randomly and then observe the status of block analgesia, muscle relaxation, side effect and neonatal Apgar score. Result： It′s effective in a short period of CSEA, with better motor block and analgesia, muscle relaxation. There′significance difference in side effect （P 〈0.05）, and no difference in Apgar （ P 〉 O. 05） between two groups. Conclusion： It＇s an ideal anesthesia method for obstetrics with ESEA, which is rapid effect, and with good analgesia and muscle relaxation.