钢丝加强聚脲胺酯硬膜外导管在剖宫产麻醉中的应用效果

Application Effect of Wire Reinforced Polyureamine Epidural Catheter in Cesarean Section An⁃esthesia

目的分析钢丝加强聚脲胺酯硬膜外导管在剖宫产麻醉中的应用效果。方法选取2021年6月—2022年12月乌鲁木齐市妇幼保健院收治的行剖宫产的200例产妇为研究对象,按麻醉干预所用导管不同分为两组,各100例。对照组采用常规聚氯乙烯硬膜外导管,研究组采用钢丝加强聚脲胺酯硬膜外导管。比较两组麻醉相关指标(麻醉起效时间、镇痛持续时间、感觉阻滞最高平面时间、无痛平面时间)、不良反应总发生率及硬膜外置管时相关情况(导管置入血管、神经根刺激症状、一次置管成功率)。结果研究组麻醉起效时间、感觉阻滞最高平面时间及无痛平面时间均短于对照组,镇痛持续时间长于对照组,差异有统计学意义(P均<0.05)。研究组不良反应总发生率为2.00%(2/100),低于对照组的14.00%(14/100),差异有统计学意义(χ^(2)=9.782,P<0.05)。研究组导管置入血管及神经根刺激症状发生率低于对照组,一次置管成功率高于对照组,差异有统计学意义(P均<0.05)。结论剖宫产产妇麻醉时应用钢丝加强聚脲胺酯硬膜外导管,有助于提高一次置管成功率,降低不良反应发生率,优化麻醉指标。

Objective To analyze the application effect of wire reinforced polyureamine epidural catheter in cesarean section anesthesia.Methods A total of 200 parturients who underwent cesarean section in Urumqi Maternal and Child Health Hospital from June 2021 to December 2022 were selected as the research objects.They were divided into two groups according to the different catheters used for anesthesia intervention,with 100 cases in each group.The control group was treated with conventional polyvinyl chloride epidural catheter,and the study group was treated with wire-reinforced polyureamine epidural catheter.The anesthesia-related indi-cators(onset time of anesthesia,duration of analgesia,maximum plane time of sensory block,painless plane time),incidence of adverse reactions and related conditions during epidural catheterization(catheter placement of blood vessels,nerve root stimulation symptoms,success rate of one-time catheterization)were compared be-tween the two groups.Results The onset time of anesthesia,maximum plane time of sensory block and the time of painless plane in the study group were shorter than those in the control group,and the duration of analgesia was longer than that in the control group,the differences were statistically significant(all P<0.05).The total inci-dence of adverse reactions in the study group was 2.00%(2/100),which was lower than 14.00%(14/100)in the control group,and the difference was statistically significant(χ^(2)=9.782,P<0.05).The catheter placement of blood vessels rate and nerve root stimulation symptoms rate in the study group were lower than those in the con-trol group,and the success rate of one-time catheterization was higher than that in the control group,the differ-ences were statistically significant(all P<0.05).Conclusion The application of wire reinforced pdyureamine epidural catheter to strengthen during the anesthesia intervention of cesarean section women is helpful to im-prove the success rate of one-time catheterization,reduce the incidence of adverse reactions,optimize the anes-thesia index.