摘要
目的观察腰麻-硬膜外联合麻醉在剖宫产手术中的麻醉效果和相关不良反应。方法随机将60例剖宫产手术的足月单胎产妇随机均分为两组:E组,实施硬膜外麻醉(EA);S组,实施腰麻-硬膜外联合麻醉(CSEA),给予患者布比卡因9～11mg。监测血流动力学变化,评估麻醉效应和恶心呕吐等不良反应发生情况。结果两组血压与心率比较无统计学意义,与E组相比较,S组镇痛效果更佳,差异有统计学意义(P<0.05),两组术后恶心呕吐、皮肤搔痒、呼吸抑制等不良反应无差异(P>0.05)。结论2种麻醉方法均可以满足临床需要,但CSEA镇痛效果优于EA,提供更好的导尿舒适度,且不良反应少。
Objective To evaluate the anaesthesia effect and side -effect of combined spinal epidural anesthesia in cesarean section. Methods 60 full -tern gravitas undergoing eesarean deliver were divided into two groups with 30 cases each, group E reeeived epidural anesthesia. Group S received combined spinal epidural anesthesia with bupivaeaine 9 - 11 nag. The hemodynamie were monitored. The anaesthesia elect were evaluate. The adverse reaction （nausea and vomiting , pruritus, respirtory depression） were recorded . Re.suits There was no significant differnee in two groups for BP and HR . Compared with the group E, There were more excel- lent analgesic effec in group S （ P 〈 0.05 ）. Two groups hadn＇t significant differences about the incidence of nausea and vomiting , pruritus and respiratory depression （ P 〉 0.05 ）. Conclusion Trough two anaesthesia ways were useful, CSEA was more effective than EA in providing analgesia and suppressing the uncomfortable responses of retaining urethral catheterization to cesarean delivery surgery.
出处
《中国实用医药》
2008年第35期107-108,共2页
China Practical Medicine
关键词
硬膜外麻醉
腰-硬联合麻醉
布比卡因
剖宫产术
Epidural anesthesia
Combined spinal epidural anesthesia
Bupivacaine
Cesarean section
