比较腰麻-硬膜外联合麻醉下不同阻滞平面在剖宫产手术中的临床效果

Comparison of Clinical Effect of Different Block Levels in the Cesarean Section under the Combined Spinal Epidural Anesthesia

目的探讨分析两种麻醉方法在剖宫产手术中的临床疗效。方法整群选取该院2012年3月—2014年10月收治的82例需行剖宫产手术的足月单胎产妇为研究对象,随机分为对照组与观察组,各41例。两组患者均行腰麻-硬膜外联合麻醉,对照组阻滞平面为T8,观察组阻滞平面为T6。结果观察组产妇的麻醉显效时间、血压、心率及麻醉效果均显著优于对照组,差异有统计学意义(P<0.05);两组的不良反应发生率及新生儿Apgar评分相比较,差异无统计学意义(P>0.05)。结论对行剖宫产术的产妇给予腰麻-硬膜外联合麻醉临床疗效显著,值得临床广泛应用及推广。

Objective To observe and analyze the clinical curative effect of two anesthesia methods in the cesarean section.Methods 82 cases of full-term singleton delivery women needing cesarean section admitted and treated in our hospital from March 2012 to October 2014 were selected as the research object and randomly divided into two groups with 41 cases in each, both groups were given the combined spinal epidural anesthesia, the block level was T8 in the control group and T6 in the observation group. Results The anesthesia action time, blood pressure, heart rate and anesthesia effect in the observation group were obviously better than those in the control group,（P0.05）, and the differences had statistical significance,the differences in the incidence of adverse reactions and neonatal APGAR score had no statistical significance,（P 0.05）Conclusion The clinical curative effect of combined spinal epidural anesthesia for delivery women with cesarean section is obvious, and it is worth wide application and promotion in clinic.