重度妊高症患者剖宫产麻醉分析

Analysis of Cesarean Section Anesthesia in Patients With Severe Pregnancy Induced Hypertension

目的分析重度妊高症患者剖宫产麻醉的方法及效果。方法搜集2014年9月~2015年6月我院收治的66例重度妊高症剖宫产患者,根据不同的麻醉方式分为实验组和对照组,每组各33例患者。给予实验组患者采用腰硬联合麻醉方法,给予对照组患者采用硬膜外麻醉方法,观察并比较两组患者的麻醉效果。结果实验组麻醉诱导时间短于对照组,麻醉用药量少于对照组,患者心力衰竭发生率低于对照组,两组相比差异有统计学意义（P〈0.05）。结论在重度妊高症患者的剖宫产过程中,对其使用腰硬联合麻醉方法,可以加快麻醉起效时间,降低对母婴的不良影响。

Objective To analyze cesarean section anesthesia methods and its effect in patients with severe pregnancy induced hypertension. Methods Chose 66 patients with severe pregnancy induced hypertension who were treated in hospital from September 2014 to June 2015 and separated them into study group and control group according to different anesthesia methods with 33 patients in each group. Patients in study group were given combined spinal epidural anesthesia（CSEA）treatment,while patients in control group were given epidural anesthesia treatment,and then observed and compared anesthesia effects between two groups. Results Patients＇ anesthesia-induction time was shorter and anesthesia dosage was less in study group compared to counterparts in control group. Besides, patients＇ heart failure incidence in study group was lower than that in control group. There was a differential between two groups and such a differential had statistic value（P 0.05）. Conclusion Combined spinal epidural anesthesia（CSEA）treatment is of efficacy for patients with severe pregnancy induced hypertension. It is conducive to accelerating anesthesia onset time and reducing side-effect incidence for both mothers and babies.