腰硬联合麻醉在剖宫产术中的应用效果观察

Effect of Combined Spinal Epidural Anesthesia in Cesarean Section

目的分析腰硬联合麻醉（CSEA）在剖宫产术中的应用效果与安全性。方法选择我院2013年2月～2015年4月70例剖宫产产妇作为观察对象,按照患者麻醉方式不同,将其分为观察组（n=35）和对照组（n=35）,对照组应用硬膜外麻醉（CEA）,观察组应用CSEA,比较两组不良反应发生率、起效时间、镇痛效果。结果两组不良反应发生率比较,P〉0.05,差异无统计学意义。观察组起效时间短于对照组;观察组镇痛优良率为97.14%,高于对照组的80.00%（P〈0.05）。结论剖宫产术中应用CSEA具有镇痛效果好、起效快、不良反应少等优点。

Objective To analyze the effect and the safety of CSEA in cesarean section.Methods 70 cases of cesarean delivery mothers from February 2013 to April 2015, were randomly divided into two groups, the control group and the observation group, each group had 35 cases. The control group used continuous epidural anesthesia （CEA）, the observation group used spinal anesthesia combined continuous epidural anesthesia （CSEA）. Compare the incidence of adverse reactions, working time and analgesic effect of the two groups. ResultsThe incidence of adverse reactions of two groups was not statistically signiifcant differenceP〉0.05. The working time of the observation group was obviously shorter than the control group. The analgesic excellent rate of the observation group was97.14%, which was higher than that of control group 80.00% （P〈 0.05）.Conclusion CSEA has an analgesic effect, rapid onset, fewer adverse reactions.