不同麻醉方式对妊高症剖宫产产妇的影响分析

Effect of Different Anesthesia Methods on Pregnant Women with Pregnancy Induced Hypertension Undergoing Cesarean Section

目的探究硬膜外麻醉和腰硬联合麻醉对妊高症剖宫产产妇的影响。方法将2019年4月至2021年2月期间在睢县妇幼保健院进行分娩的94例妊高症剖宫产产妇选为研究对象,采用数字表法将以上产妇分为观察组和对照组,各47例。对照组采用硬膜外麻醉,观察组则采用腰硬联合麻醉,对比两组的镇痛效果,对比两组的T6平面到达时间、有效麻醉至胎儿娩出时间、麻醉恢复时间等麻醉相关指标,并对比两组产妇术后的不良反应情况及Bromage评分及新生儿Apgar评分。结果观察组麻醉优良率达到95.74%,对照组的麻醉优良率为82.98%,差异有统计学意义(P<0.05);观察组的T6平面到达时间、有效麻醉至胎儿娩出时间、麻醉恢复时间均显著短于对照组,差异有统计学意义(P<0.05);两组患者术后的不良反应类型基本一致,观察组不良反应发生率为6.38%,显著低于对照组的21.28%;且观察组的Bromage评分及新生儿Apgar评分均明显高于对照组,差异有统计学意义(P<0.05)。结论在妊高症剖宫产手术过程中,相较于硬膜外麻醉,腰硬联合麻醉的效果更好。腰硬联合麻醉的起效速度更快,且术后的不良反应更少,Bromage评分及新生儿Apgar评分也相对较高,值得在临床应用。

Objective To explore the effect of epidural anesthesia and combined spinal epidural anesthesia on pregnant women undergoing cesarean section.Methods The subjects of the study were 94 pregnant women with cesarean section due to pregnancy induced hypertension who delivered in our hospital from April 2019 to February 2021.The above pregnant women were divided into observation group and control group by digital table method.The control group was given epidural anesthesia,while the observation group was given combined spinal epidural anesthesia.The analgesic effects of the two groups were compared,the arrival time of T6 plane,the time from effective anesthesia to fetal delivery,anesthesia recovery time and other anesthesia related indexes,and the postoperative adverse reactions,Bromage score and neonatal Apgar score of the two groups were compared.Results The excellent and good rate of anesthesia in the observation group was 95.74%,and that in the control group was 82.98%,there was significant difference between the two groups(P<0.05);The arrival time of T6 plane,the time from effective anesthesia to fetal delivery and the recovery time of anesthesia in the observation group were significantly lower than those in the control group(P<0.05);The types of postoperative adverse reactions in the two groups were basically the same.The incidence of adverse reactions in the observation group was 6.38%,significantly lower than 21.28%in the control group.The Bromage score and neonatal Apgar score in the observation group were significantly higher than those in the control group,with statistically significant(P<0.05).Conclusion In the process of cesarean section for pregnancy induced hypertension,compared with epidural anesthesia,the effect of combined spinal epidural anesthesia is better,the onset speed of combined spinal epidural anesthesia is faster,and there are fewer postoperative adverse reactions.Bromage score and neonatal Apgar score are also relatively high,which is worthy of popularization and application in clinical practice.