腰硬联合麻醉与持续硬膜外麻醉用于剖宫产术的效果对比分析

Comparative study of combined spinal-epidural anesthesia and epidural anesthesia in cesarean section

目的:比较腰硬联合麻醉与持续硬膜外麻醉用于剖宫产术的麻醉效果。方法:剖宫产术患者136例,随机分为观察组和对照组,每组各68例。对照组给予持续硬膜外麻醉,观察组给予腰硬联合麻醉。对两组患者麻醉前后及手术牵拉反应时的收缩压(SBP)、舒张压(DBP)及心率(HR)进行监测,并比较麻醉后相关指标、麻醉效果和不良反应发生率。结果:1观察组的收缩压、舒张压和心率改善情况优于对照组(P<0.05)。2观察组的麻醉起效时间、镇痛维持时间及术后疼痛评分明显优于对照组(P<0.05)。3观察组的麻醉优良率(97.05%)明显高于对照组(79.41%)(P<0.05)。结论:腰硬联合麻醉用于剖宫产手术中,可提高麻醉效果,减少不良反应。

Objective：To comparative study anesthetic effect of combined spinal-epidural anesthesia and epidural anesthesia in cesarean section.Methods：Totally 136 patients with cesarean section in our hospital from April 2013 to April 2014 were randomly divided into observation group and the control group,with 68 patients in each group.Control group was given epidural anesthesia,while observation group was given combined spinal-epidural anesthesia.Systolic blood pressure（SBP）,diastolic blood pressure（DBP）and heart rate（HR）of patients in two groups before and after anesthesia were monitored.Some index after anesthesia,anesthetic efficacy and adverse reactions of the two groups were compared.Results：（1）The improvement of SBP,DBP and HR in observation group were significantly better than those in control group（P〈0.05）.（2）The onset time of anesthesia,duration of postoperative analgesia and postoperative pain scores in observation group were significantly better than those in control group（P〈0.05）.（3）Anesthesia excellent rate in observation group（97.05%）was significantly higher than that in control group（79.41%）（P〈0.05）.Conclusion：Combined spinal-epidural anesthesia in cesarean section can enhance anesthesia efficacy and reduce adverse reactions.And it is worth applying in clinic widely.