不同麻醉方式在剖宫产术中的麻醉效果及对胎儿血气水平的影响研究

Anesthetic effect of different anesthetic methods in cesarean section and its effect on fetal blood gas level

目的探讨不同麻醉方式在剖宫产术中的麻醉效果及对胎儿血气水平的影响。方法于2017年08月～2018年08月,对本院收治的80例剖宫产术患者进行分析,利用电脑随机的方式,将之分为常规组、研究组,两组各40例。常规组行全麻插管麻醉,研究组行腰硬联合麻醉。结果研究组麻醉见效时间明显短于常规组,组间差异显著(P<0.05);两组胎儿脐动脉血气pH值、新生儿Apgar评分对比,无差异统计学意义(P>0.05)。结论腰硬联合麻醉见效快,效果良好,可将其作为理想的剖宫产术麻醉方法,两种麻醉方式对胎儿均无不良影响。

Objective To investigate the anesthetic effect of different anesthesia methods in cesarean section and its effect on fetal blood gas level.Methods From August 2017 to August 2018, 80 cases of cesarean section patients were analyzed and randomly divided into routine group and research group,40 cases in each group.The general group received general anesthesia and intubation anesthesia,and the study group received combined spinal epidural anesthesia.Results The effective time of anesthesia in the study group was significantly shorter than that in the conventional group,and there was significant difference between the two groups (P<0.05).There was no significant difference in fetal umbilical artery blood gas pH value and neonatal Apgar score between the two groups (P>0.05).Conclusion Combined spinal-epidural anesthesia is an ideal anesthesia method for cesarean section. Both anesthesia methods have no adverse effects on the fetus.