腰硬联合麻醉与硬膜外麻醉应用于剖宫产效果的比较研究

Comparative Study of Combined Spinal Epidural Anesthesia and Epidural Anesthesia in Cesarean Section Effect

目的：探讨腰硬联合麻醉（CSEA）与硬膜外麻醉（EA）应用于剖宫产的效果。方法：选择2012年10月-2013年6月本院接诊的60例孕产妇作为研究对象,随机分为观察组和对照组,每组30例,观察组患者采用腰硬联合麻醉,对照组采用EA,观察比较两组患者两组患者术中情况、麻醉效果、术后情况。结果：观察组患者在手术时间、麻醉起效时间、麻醉持续时间发面均显著优于对照组,二者差异显著（P〈0.05）；观察组患者在恶心、呕吐方面显著优于对照组,二者差异显著（P〈0.05）,在寒颤、低血压、头痛、辅助用药方面,观察组与对照组比较差异不显著（P〉0.05）；观察组优秀率83.3％显著优于对照组60.0%,二者比较差异显著（P〈0.05）。结论：剖宫产手术中,CSEA在手术时间、麻醉起效时间、麻醉持续时间及安全性方面优于EA。

Objective：To compare the combined spinal epidural anesthesia and epidural anesthesia in cesarean section effect. Methods：60 cases were randomly selected for the study of maternal in our hospital from October 2012 to June 2013, Were divided into observation group and control group of 30 patients randomly, the observation group were treated with epidural anesthesia, epidural anesthesia group, the two groups were observed and compared two groups of patients intraoperative conditions, anesthesia, postoperative conditions. Results：The patients in the surgery time, anesthesia onset time, duration of anesthesia baking were significantly better than the control group, the difference was significant （P〈0.05）;observation group were nausea, vomiting, significantly better than the control group, the difference was significant （P〈0.05）,in the chills, hypotension, headache, auxiliary medication aspects of, observation group with the control group compare difference was not significant（P〉0.05）;excellent rate of 83.3%in the observation group were significantly better than the control group 60.0%, both significant difference （P〈0.05）. Conclusion：Cesarean delivery, combined spinal epidural anesthesia in surgery time, anesthesia time of onset, duration, and safety aspects of anesthesia than epidural anesthesia.