不同麻醉方式在妊高压综合征患者剖宫中的效果对比观察及对认知功能的影响研究

Comparison of the effects of different anesthesia methods on cesarean section in patients with pregnancy induced hypertension and their effects on cognitive function

目的 :综合分析不同麻醉方式在妊高压综合征患者剖宫中的效果及对认知功能的影响,为治疗妊高压综合征患者提供科学的数据参考。方法 :在2014年9月~2016年9月,选取在我院收治的120例妊高压综合征患者一般资料作为研究对象,按照不同麻醉方式随机分为实验组与对照组1、对照组2,每组均为40例。对照组1应用单纯硬膜外麻醉方法,对照组2应用静脉麻醉方法,实验组应用腰麻硬膜外联合麻醉方法。采用SPSS20.0统计学软件进行统计学分析三组患者的麻醉显效时间、麻醉效果、低血压发生率、新生儿Apgar评分、麻醉前后认知功能评分等参数指标。结果 :(1)三组麻醉显效时间比较有统计学意义;(2)三组新生儿Apgar评分比较无统计学意义;(3)三组不良反应发生率比较无统计学意义;(4)实验组麻醉优秀率显著高于对照组1和对照组2;(5)实验组低血压发生率显著低于对照组1和对照组2;(6)麻醉前,实验组、对照组1、对照组2认知功能评分比较无统计学意义;实验组术后12h认知功能评分比较有统计学意义,术后72h认知功能评分比较无统计学意义。结论 :腰麻硬膜外联合麻醉在妊高压综合征患者中应用效果显著。

Objective To analyze the effects of different anesthesia methods on the cesarean section of patients with preg-nancy-induced hypertension syndrome and their influence on cognitive function, and to provide scientific data for the treatment of patients with pregnancy-induced hypertension syndrome.Methods From September2014 to September 2016,120 patients with PIH were randomly divided into experimental group1 and control group 2 according to different anesthesia methods. , Each group were40 cases. In control group1, epidural anesthesia was used. In control group2, intravenous anesthesia was used. In the experimental group, spinal epidural anesthesia was used. The time of anesthesia, the effect of anesthesia, the incidence of hypotension, Apgar score of newborn, cognitive function score before and after anesthesia were measured by SPSS20.0 statistical software.Results ① There was significant difference in the time of effective anesthesia between the three groups; ②The Apgar scores of neonates in the three groups had no statistical significance; ③The incidence of adverse reactions in the three groups was not statistically significant; ④The incidence of hypotension in the experimental group was significantly lower than that in the control group1 and the control group 2; ④The incidence of hypotension in the experimental group was significantly lower than that in the control group1 and the control group2. (6) Before the anesthesia, there was no significant difference in cogni-tive function between the experimental group, the control group1 and the control group2; the cognitive function score of the experimental group12h after operation was statistically significant There was no significant difference in the scores of cognitive function after72 hours.Conclusion Combined spinal and epidural anesthesia in patients with pregnancy-induced hypertension in the application of significant effect.