肥胖孕妇剖宫产术的2种麻醉方法对比

A Comparison on Two Anesthesia Methods in Cesarean Section for Obese Pregnant Women

目的：研究腰-硬联合麻醉和硬膜外麻醉,哪种麻醉方式效果更优。方法：选取70例于2011年5月∽2012年5月期间在某院产科接受剖宫产的肥胖孕产妇,随机分为实验组35例和对照组35例;实验组35例肥胖孕妇选择腰-硬联合麻醉,对照组35例肥胖孕妇剖宫产选择的麻醉方式为硬膜外麻醉,观察2组麻醉疗效。结果：实验组35例肥胖孕妇采用的腰-硬联合麻醉的效果较对照组要好,实验组较对照组的麻醉并发症发生率低,分别为14.2%、42.8%,P〈0.05,具有统计意义。结论：对于剖宫产的肥胖产妇采取腰-硬联合麻醉方法,安全性高、药效快,值得临床推广。

Objective：To study combined spinal-epidural anesthesia and epidural anesthesia and decide which one is better.Methods：70 cases of obese pregnant women who received cesarean section in the obstet-rics department in some hospital during the period from May 2011 to May 2012 were selected and were ran-domly divided into the experimental group and control group,35 cases for each group.Spinal-epidural anes-thesia were selected for the 35 cases of obese pregnant women in experimental group ,while epidural anes-thesia was operated on 35 cases of obese pregnant women in control group ,and anesthesia effects of the two groups were observed.Results：The anesthesia effects of spinal-epidural anesthesia conducted on the 35 cases in experimental group were better than that in control group,the complication rate of the experimental group was lower than that of the control group,and were 14.2%% and 42.8% respectively.The difference was statistically significant,（P＆lt;0.05）.Conclusion：Spinal-epidural anesthesia features safety and quick effi-ciency in cesarean section for obese pregnant women,which is worthy of clinical promotion.