腰硬联合麻醉与硬膜外麻醉用于急诊剖宫产的临床研究

Clinical Study of Combined Spinal and Epidural Anesthesia and Epidural Anesthesia for Emergency Cesarean Section

目的分析比较腰硬联合麻醉和硬膜外麻醉运用于急诊剖宫产患者中的临床效果及不良反应。方法选取我院2017年1月—2018年1月收治的96例急诊剖宫产患者临床资料,按不同麻醉方式分为研究组与对照组,每组各48例。对照组实行硬膜外麻醉,研究组实行腰硬联合麻醉,比较两组的麻醉效果和不良反应。结果研究组麻醉起效时间(5.91±1.52)min,平均手术时间(40.34±3.87)min,胎儿娩出时间(10.82±1.15)min,术后不良反应总发生率8.33%,均显著优于对照组(P<0.05)。结论腰硬联合麻醉对急诊剖宫产患者的麻醉效果显著,且不良反应少。

Objective To analyze the clinical effects and adverse reactions of combined spinal-epidural anesthesia and epidural anesthesia in emergency cesarean section patients. Methods The clinical data of 96 emergency caesarean section patients admitted from January 2017 to January 2018 in our hospital were selected and divided into study group and control group according to different anesthetic methods, 48 cases in each group. Epidural anesthesia was performed in the control group and lumbar analgesia was performed in the study group. The anesthetic effect and adverse reactions were compared between the two groups. Results The onset time of anesthesia was（5.91±1.52） min, mean operation time（40.34±3.87） min, fetal delivery time（10.82±1.15） min, and total incidence of postoperative adverse reactions in the study group was 8.33%, the study group was significantly better than the control group（P 〈 0.05）. Conclusion Combined spinal-epidural anesthesia has significant anesthetic effects in patients with emergency cesarean section and has fewer adverse reactions.