腰-硬联合麻醉在剖宫产术中的应用价值

The Value of Spinal-Epidural Anesthesia for Cesarean Section

目的:探讨腰-硬联合麻醉在妇产科剖宫产术中的临床应用价值。方法:将114例需要手术的妇产科妊娠期高血压疾病患者随机分为腰-硬联合麻醉组74例,连续硬膜外麻醉组30例,全身麻醉组10例,比较分析各组麻醉效果及不良反应发生情况。结果:与其他两组相比,腰-硬联合麻醉组患者起效时间短、阻滞效果好,平均动脉压较低,但低血压发生率较高,差异均有统计学意义(P<0.05),三组不良反应发生率和新生儿阿普加评分相似,差异无统计学意义(P>0.05)。结论:只要控制好麻醉平面,把握好术中患者血容量,腰-硬联合麻醉在剖宫产手术中是安全有效的。

Objective： To investigate the spinal - epidural anesthesia in obstetrics and gynecology cesarean section clinical value.Method： 114 patients with spinal-epidural anesthesia was 74 cases, continuous epidural anesthesia group of 30 patients; remaining 10 patients under general anesthesia.Result： The patients with spinal - epidural anesthesia group short onset time, block effect, mean arterial pressure, but a higher incidence of hypotension, the difference was statistically significant （ P〈0.05 ）, three groups incidence of adverse reactions and neonatal Apgar scores were similar, the difference was not statistically significant （P〉0.05 ） .Conclusion： As long as the control of narcotic plane, grasp good intraoperative blood volume in patients with spinal - epidural anesthesia in cesarean section surgery is safe and effective.