硬膜外麻醉和腰硬联合麻醉用于剖官产手术效果的比较

Comparison of Effect Between Spinal-epidural Anesthesia and Epidural Anesthesia in Caesarean Section

目的比较分析硬膜外麻醉和腰硬联合麻醉用于剖宫产手术效果,为临床手术麻醉提供参考。方法随机选取该院在2012年7月—2014年11月收治剖宫产手术孕妇160例,分为甲组和乙组各80例,甲组采取硬膜外麻醉,乙组采取腰硬联合麻醉,分析两组麻醉效果。结果乙组患者麻醉优良率(100%)明显高于甲组(85.0%),P<0.05,两组患者麻醉前后、术后血压以及心率等差异无统计学意义,P>0.05,乙组患者麻醉起效时间明显短于甲组,P<0.05。结论在剖宫产手术中采用腰硬联合麻醉操作方便,成功率高,具有使用价值。

Objective To compare the effects between spinal-epidural anesthesia and epidural anesthesia in caesarean section so as to provide reference for clinical procedures. Methods 160 pregnant woman who underwent caesarean section in our hospital during July 2012 and November 2014 were divided into group A（n=80） in which epidural anesthesia was performed, and group B（n=80） in which spinal-epidural anesthesia was conducted. The anesthetic effects of were compared between the two groups. Results The excellent and good rate was higher, 100% vs 85.0%, in the group A than in the group B with statistically significant difference, P〈0.05; but there were no statistically significant differences in blood pressure and heart rate after operation between the two groups,P〈0.05. Onset time of anesthesia was shorter in the group B than in the group A,P〈0.05. Conclusion Spinal-epidural anesthesia is worthy of application in caesarean section because of its easy operation and high success rate.