2种麻醉方法用于妊娠高血压综合征剖宫产术的效果比较

Comparison of two anesthesia methods for cesarean section in patients with pregnancy-induced hypertension

目的:比较硬膜外(EA)与腰—硬联合阻滞(CESA)用于妊娠高血压综合征剖宫产术的麻醉效果。方法:择期妊娠合并妊娠高血压综合征拟行剖宫产术的患者80例,随机分为2组,Ⅰ组采用EA,Ⅱ组采用CESA,观察麻醉效果、术中循环情况和不良反应等。结果:(1)麻醉效果:Ⅰ组1级21例(52.5%),Ⅱ组1级35例(87.5%),两组比较差异有统计学意义(P<0.05)。(2)新生儿Apgar评分:①1 minⅠ组(9.58±0.92)分,Ⅱ组(9.51±0.75);②5 minⅠ组(9.51±0.75)分,Ⅱ组(9.86±0.42)分;两组比较差异无统计学意义(P>0.05)。结论:腰硬联合麻醉适用于妊高征剖宫产术,且效果优于硬膜外麻醉。

Objective： To compare the effect of epidural anesthesia（EA） and combined epidural and spinal anesthesia（CESA）on cesarean section in patients with pregnancy induced hypertension.Methods： Selected 80 pregnancy induced hypertension cases with cesarean section,and randomly divided into two groups.Treated group Ⅰwith EA,and group Ⅱ with CESA,and observed the anesthesia effect,circulation status during surgery and adverse effect. Results： 21 cases in group Ⅰ（52.5%） and 35 cases in group Ⅱ（87.5%）had satisfactory effect,and with significant difference between two groups（P〈0.05）.Infants Apgar assessment showed 9.58 ±0.92 in group Ⅰ and 9.51 ±0.75 in group Ⅱ at 1 min;while 9.51 ±0.75 in group Ⅰ and 9.86 ±0.42 in group Ⅱ at 5 min.There was insignificant differnce（P〈0.05）. Conclusion： CESA is primary option for cesarean section of patients with pregancy induced hypertension,and is more effective than EA.