瘢痕子宫合并前置胎盘剖宫产不同麻醉方式的临床探讨

The clinical exploration of scar uterus merger of placenta previa indifferent anesthesia models

目的研究瘢痕子宫合并前置胎盘剖宫产不同麻醉方式的临床疗效。方法选取我院产科2014年6月—2016年7月接收的60例瘢痕子宫合并前置胎盘产妇作为研究对象,均采取剖宫产术,按照麻醉方式不同分为硬膜外麻醉组(40例)和全身麻醉组(20例)。比较2组患者的麻醉效果。结果 2组失血性休克、子宫切除率、失血量、升压药应用等存在统计学差异(P<0.05)。结论瘢痕子宫妊娠合并前置胎盘剖宫产术患者术前需根据实际情况选择麻醉方式,以减少母婴并发症,确保麻醉安全。

Objective Researching the scar uterus merger of placenta previa indifferent anesthesia models. Methods The hospital maternity is selecting from June 2014 to July 2014,receive the 60 cases of merger of scar uterus placenta previa maternal as the research object, to break the palace to produce is adopted, according to different divided into epidural anesthesia group （40 cases） and general anesthesia group （20 cases ）.Then compared two groups of patients with medical curative effect of different anesthesia methods. Results Two groups of uncontrolled hemorrhagic shock, uterus resection rate blood loss,vasopressors applications vary,with statistical significance （P〈0.05）.Conclusion For scar pregnancy with uterine placenta previa cesarean section,preoperative anesthesia should be according to the actual circumstance of patients choosing to reduce the maternal complications and guarantee the safety of anesthesia.