连续硬膜外麻醉与腰-硬联合麻醉在剖宫产手术中的应用效果比较

The Comparison of Application Effects between Continuous Epidural Anesthesia and Waist Hard Joint Anesthesia in Cesarean Section Surgery

目的比较连续硬膜外麻醉与腰-硬联合麻醉在剖宫产手术中的临床价值及效果。方法选择符合条件的剖宫产手术产妇96例,采用随机数表法分为连续组与联合组,每组各48例,其中连续组采取连续硬膜外麻醉下行剖宫产,联合组采取腰-硬联合麻醉下行剖宫产,比较两组患者的麻醉效果、不良反应发生率及新生儿评分等指标。结果联合组产妇麻醉起效时间、诱导时间及手术用时明显少于连续组(P<0.05);联合组与连续组新生儿评分比较,差异无统计学意义(P>0.05);联合组麻醉满意度高于连续组(P<0.05);连续组不良反应发生率(23.0%)明显高于联合组(2.1%),差异有统计学意义(P<0.05)。结论剖宫产手术采用腰-硬联合麻醉可提高麻醉满意度、麻醉起效快、镇静效果强,不良反应发生率较低,值得临床推广使用。

Objective To study the comparison of appIication effects between continuous epi-duraI anesthesia and waist hard joint anesthesia in cesarean section surgery.Methods 96 cases under the cesarean section surgery from January to September,2013 in our hospitaI were ran-domIy divided into continuous and joint group, 48 cases in each group.The continuous group was treated by the continuous epiduraI anesthesia in the cesarean section surgery,but the joint group took the waist hard joint anesthesia.The anesthesia effects, incidence of adverse reac-tions and newborn grading of the two groups were compared.Results There was great differ-ence among anesthesia working time,induction time and surgery time.The joint group had an advantage in above time （P〈0.05）.The Apgar method was used to assess neonataI outcomes quaIity,which showed the scores of the two groups had no significant difference （P〉0.05）.But the anesthesia satisfaction and fetaI chiIdbirth time of the joint group were obviousIy better than those of the continuous group （ P〈0.05 ） .Conclusion The waist hard joint anesthesia used in ce-sarean section surgery can improve anesthesia satisfaction and anesthesia effects and obtain stronger sedative effects and Iower incidence of adverse reactions.It has great cIinicaI appIica-tion and popuIarization vaIues.