腰硬联合麻醉与单纯硬膜外麻醉用于剖宫产手术的对比分析

Comparative analysis of combined epidural anesthesia and epidural anesthesia for cesarean section operation

目的探讨腰硬联合麻醉与单纯硬膜外麻醉用于剖宫产手术中的效果。方法选取60例剖宫产产妇,根据随机数字表法分为观察组与对照组,各30例。对照组采取硬膜外麻醉,观察组采取腰硬联合麻醉,比较两组麻醉效果。结果观察组麻醉优良率为100%,高于对照组的80.00%(P<0.05)。观察组麻醉起效、阻滞完善以及麻醉-分娩时间均短于对照组(P<0.05)。两组新生儿Apgar评分比较差异无统计学意义(P>0.05)。观察组不良反应发生率为6.67%,低于对照组的30.00%(P<0.05)。结论剖宫产手术中采取腰硬联合麻醉方案,可提高麻醉效果,促使产妇术中轻松,肌肉良好,且起效快、恢复快,促进胎儿快速安全娩出,不良反应少,属于安全、有效的麻醉方案,值得临床推广。

Objective To investigate the effects of combined lumbar and epidural anesthesia and epidural anesthesia in cesarean section.Methods 60 cases of cesarean section were selected and divided into observation group and control group according to random number table method,30 cases in each group.The control group was given epidural anesthesia,and the observation group was given lumbo-epidural anesthesia.The anesthetic effect of the two groups was compared.Results The excellent and good rate of anesthesia in observation group was 100%,higher than that in control group 80.00%(P<0.05).The effect of anesthesia,the completion of block and the time of anesthesia to delivery in the observation group were shorter than those in the control group(P<0.05).There was no significant difference in Apgar score between the two groups(P>0.05).The incidence of adverse reactions in the observation group was 6.67%,lower than that in the control group(30.00%)(P<0.05).Conclusion The combination of epidural and lumbar anesthesia in cesarean section can improve the anesthetic effect,promote the ease of obstetrics and gynecology,good muscle,rapid onset,rapid recovery,and promote the rapid and safe delivery of the fetus,and less adverse reactions.It is a safe and effective anesthesia program,worthy of clinical promotion.