腰-硬联合麻醉在剖宫产术时不同穿刺间隙的临床效果

目的分析腰-硬联合麻醉方法用于剖宫产术时选用不同穿刺间隙的临床麻醉效果。方法选择在四川省资阳市雁江区人民医院接受医治的剖宫产患者78例,随机将其均分为实验组与对照组(n=39)。实验组剖宫产患者选用L_(3-4)间隙进行腰-硬联合麻醉穿刺,而对照组患者选用L_(2-3)间隙进行腰-硬联合麻醉穿刺。密切观察2组患者经过不同穿刺间隙的临床麻醉效果。结果对照组患者的总有效率(64.10%)明显低于实验组(94.87%);对照组患者麻醉后不良反应发生率(33.33%)明显高于实验组患者(66.67%),差异有统计学意义(P<0.05)。结论选用L_(3-4)间隙进行腰-硬联合麻醉穿刺的效果比L_(2-3)间隙穿刺的效果好,此穿刺方法较为安全可靠。

Objective To analyze the clinical application of combined spinal-epidural anesthesia （CSEA）, and explore the clinical anesthetic effect of CSEA in different puncture space of cesarean delivery. Methods 78 patients who received in different puncture space of cesarean delivery in our hospital were selected as the study objects,and divided them into experimental group and control group, 39 cases in each group.The experimental group adopted CSEA puncturee in L 3-4 space, control group adopted CSEA punction in L 2-3 space. Clinical anesthetic effect of two groups were closely observed. Results The total effective rate of control group （64.10%） was signiifcantly lower than experimental group （94.87%）;And the incidnece of adverse reactions after anesthesia in control group （33.33%） was signiifcantly lower than experimental group （66.67%）, differences between two groups were statistically signiifcant （P﹤0.05）. Conclusion Efifcacy of CSEA puncture in L 3-4 space is better than L 2-3 space.