蛛网膜下隙与连续硬膜外联合阻滞麻醉在剖宫产中的应用

Subarachnoid Space and Continuous Epidural Block Anesthesia in Cesarean Section

目的了解对剖宫产产妇选用蛛网膜下隙与连续硬膜外联合阻滞麻醉、持续硬膜外麻醉的效果。方法选取2015年9月—2017年11月本院接收且行剖宫产治疗的162例产妇作为研究对象,采用随机法,将其分成两组:81例行硬膜外麻醉的为对照组,81例行蛛网膜下隙与连续硬膜外联合麻醉的为治疗组,对比两组产妇的应用效果。结果治疗组麻醉优良率100.00%,较对照组的83.95%高,差异具有统计学意义(P<0.05);两组患者的麻醉时长、新生儿出生后(1 min、5 min)评分等对比,差异具有统计学意义(P<0.05)。结论对剖宫产产妇选蛛网膜下隙与连续硬膜外联合麻醉,麻醉效果显著。

Objective To investigate the efect of continuous subarachnoid space combined with continuous epidural anesthesia and continuous epidural anesthesia for cesarean section. Methods A total of 162 maternal women received caesarean section in our hospital from September 2015 to November 2017 were randomly divided into two groups 81 women in the control group received epidural anesthesia and 81 women in the subarachnoid space In combination with continuous epidural anesthesia for the treatment group, compared with two groups effect. Results The excellent and good rate of anesthesia in the treatment group was 100.00%, which was higher than 83.95% in the control group （P 〈 0.05）. There was a statistically signifcant diference between the two groups in the duration of anesthesia and neonatal birth （1 min, 5 min） score （P 〈 0.05）. Conclusion For cesarean section, the combination of subarachnoid space and continuous epidural anesthesia is efective.