摘要
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.
出处
《海南医学院学报》
CAS
2010年第5期626-627,630,共3页
Journal of Hainan Medical University
基金
海南医学院科研基金资助学报项目(0020100174)~~