腰硬联合麻醉应用于妊娠期高血压剖宫产产妇的效果及对血流动力学的影响

Effect of combined spinal epidural anesthesia on cesarean section and its influence on hemodynamics in pregnancy induced hypertensionb

目的分析妊娠期高血压产妇行剖宫产的产妇应用腰硬联合麻醉后血流动力学的变化。方法采用随机数字表法将2015年1月至2017年1月卫辉市中医院105例妊娠期高血压剖宫产产妇分组,对照组52例采用连续硬膜外麻醉,观察组53例给予腰硬联合麻醉。对比两组产妇麻醉效果、血流动力学的改变及不良反应发生率。结果观察组镇痛优良率(94.34%)高于对照组(80.77%,P<0.05)。观察组新生儿Apgar评分高于对照组(P<0.05)。观察组麻醉后收缩压、舒张压及心率改善幅度均优于对照组(P<0.05)。结论腰硬联合麻醉能够有效的稳定妊娠期高血压行剖宫术产妇的血压及心率,麻醉效果显著,术后新生儿身体状态较佳。

Objective To analyze the hemodynamic changes of pregnant women with cesarean section after combined spinal and epidural anesthesia. Methods A total of 105 cases of hypertensive cesarean section in Weihui Hospital of Traditional Clinese Medicine from January 2015 to January 2017 were divided into two groups by random number table, the 52 patients in the control group were treated with continuous epidural anesthesia, and the 53 cases in the observation group were given combined spinal epidural anesthesia. The anesthetic effect, hemodynamic changes and incidence of adverse reactions were compared between the two groups. Results In the observation group, the excellent rate was 94.34%, which was higher than that(80.77%) in the control group (P<0.05). The neonatal Apgar score in the observation group was higher than that in the control group (P<0.05). The systolic blood pressure, diastolic blood pressure and heart rate improvement of the observation group were better than those of the control group after anesthesia(P<0.05). Conclusions Combined spinal and epidural anesthesia can effectively stabilize the blood pressure and heart rate in cesarean section of pregnant women with hypertension. The effect of anesthesia is remarkable, and the body condition of the newborns is better.