摘要
目的观察腰麻与硬膜外麻醉对剖宫产母婴安全及应激反应的影响。方法选取2015年1月至2016年10月实施剖宫产产妇180例,随机分为对照组及试验组,各90例。试验组实施腰麻,对照组实施硬膜外麻醉。观察比较两组母婴安全及应激反应情况。结果两组儿茶酚胺水平麻醉后均较麻醉前降低(P<0.05),组间比较,差异无统计学意义(P>0.05);两组仰卧位低血压综合征(SHS)发生率及新生儿Apgar评分等比较,差异无统计意义(P>0.05)。结论腰麻与硬膜外麻醉应用于剖宫产,均能有效减少产妇术中应激反应,对母婴无不良影响,合理运用可保证母婴安全。
Objective To observe the effects of spinal anesthesia and epidural anesthesia on maternal safety and stress in cesarean section.Methods 180 cases of cesarean section were divided into control group and observation group,and 90 cases were randomly divided into control group and observation group.The observation group was treated with spinal anesthesia and the epidural anesthesia was performed in the control group.The safety and stress response of the two groups were observed and compared.Results There was no significant difference between the two groups before and after anesthesia（P0.05）.There was no significant difference between the two groups（P0.05）.There was no significant difference between the two groups（P0.05）.Conclusion The application of spinal anesthesia and epidural anesthesia in cesarean section can effectively reduce the stress response in maternal surgery,and have no adverse effect on mother and child.The reasonable use can ensure the safety of mother and child.
出处
《医疗装备》
2017年第8期24-25,共2页
Medical Equipment
关键词
腰麻
硬膜外麻醉
剖宫产
母婴安全
应激反应
spinal anesthesia
epidural anesthesia
cesarean section
maternal and child safety
stress response
