摘要
目的探讨剖宫产术实施腰硬联合麻醉的临床效果。方法单胎剖宫产手术的患者248例,随机分为两组,观察组采用腰硬联合麻醉,对照组患者采用连续硬膜外麻醉,比较两组血动力学变化及麻醉效果及并发症。应用SPSS15.0软件,所获数据方差分析、t检验和2检验。结果两组身高、年龄、体重比较,P>0.05。两组麻醉效果优良率比较,P<0.005。两组不同时段HR比较,T1、T2,P>0.05;T3、T4,P<0.0005;两组不同时段SBP比较,T1、T2,P<0.01;T3、T4,P>0.05;两组不同时段DBP比较,T1,P>0.05;T2、T4,P<0.05;T3,P<0.005。两组不同时段MAP比较,T1、T3,P<0.05;T2、T4,P<0.0005。并发症观察组恶心呕吐11例,占8.87%;寒战3例,占2.42%。对照组头痛1例,占0.81%;恶心呕吐12例,占9.68%;寒战4例,占3.23%。两组比较,P>0.05。结论在剖宫产手术麻醉时选择腰硬联合麻醉效果较好,血液动力学指标优于硬膜外麻醉,不良反应较少,可在临床推广使用。
Objective To explore the clinical effect of cesarean section implement waist hard joint anesthesia. Methods： 248 cases with single tire cesarean section surgery patients, randomly divided into two groups, the observation group USES the waist hard joint anesthesia, control group were treated by continuous epidural anesthesia, comparing two groups of blood dynamics change and anesthetic effect and complications. Using SPSS 15.0 software, data obtained by vari- ance analysis, t test and Zz squared. Results Two groups of height, age, weight, P〉0.05. Anesthesia was compared two groups, P〈0.005. Compare two groups of different times HR, T1, T2, P〉0.05, T3,T4, P〈0.0005. Different time intervals of the two groups of SBP, T1、T2, P〈0.01. T3 、T4, P〉0.05. Compare two groups of DBP in the different periods, T1, P〉0.05. T2, T4, P〈0.05, T3, P〈0.005. Two groups of the MAP in the different periods, T1、T3, P〈0.05, T2 ,T4, P〈0.0005. Complications of observation group of nausea and vomiting in 11 cases, accounting for 8.87%. Chills （3 cases）, accounting for 2.42%. Control group headache in 1 case （0.81%）, Nausea and vomiting in 12 cases, accounting for 9.68%. Chills 4 cases, accounting for 3.23%. To compare the two groups, P〉0.05. Conclusion In cesarean section surgery anesthesia choice waist hard joint anesthesia effect is good, hemodynamic index is better than that of epidural anesthesia, less adverse reaction, can be used widely in clinical.
出处
《菏泽医学专科学校学报》
2017年第2期33-35,共3页
Journal of Heze Medical College
关键词
分娩
剖宫产/外科手术
腰硬联合麻醉
Delivery
Cesarean delivery/surgery
Combined spinal epidural anesthesia
