摘要
目的 分析连续腰麻在妊娠合并血小板减少症产妇剖宫产麻醉的可行性,为临床麻醉提高参考.方法 选取我院2014年3月至2015年9月收治妊娠合并血小板减少症剖宫产孕妇68例为研究对象,依照麻醉方式不同分为观察组和对照组各34例,对照组患者实施全身麻醉,观察组患者实施连续腰麻,分析两组麻醉中血压、心率等变化,并比较新生儿结局.结果 观察组产妇出血量和血小板计数显著小于对照组（P〈0.05）.麻醉后,两组患者血压均出现下降情况,观察组麻醉10 min平均动脉压显著低于对照组（P〈0.05）,观察组新生儿娩出时间短于对照组,但差异不明显（P〉0.05）,两组新生儿均出现呼吸抑制情况,观察组呼吸抑制程度显著低于对照组（P〈0.05）.产妇均得到随访,产后两组产妇均未出现感觉障碍或者下肢活动受限,未出现呼吸困难、拔管后误吸等严重并发症.结论 妊娠合并血小板减少症采用连续腰麻实施剖宫产麻醉效果良好,安全有效,具有使用价值.
Objective To analyze the feasibility analysis of continuous spinal anesthesia for pregnancy with thrombocytopenia maternal cesarean section,and provide reference for clinical anesthesia.Methods 68 patients with thrombocytopenia maternal cesar-ean section in hospital from March 2014 to September 2015 were selected,patiens were divided into observation group and the con-trol group,34 cases in each group.Control group patients were given general anesthesia,observation group patients were given con-tinuous spinal anesthesia,blood pressure,heart rate and neonatal outcomes of patients were compared.Results Observation group the amount of bleeding and platelet count was significantly lower than the control group （P〈0.05）.After anesthesia,blood pres-sure groups are declining,the observation group anesthesia 10min mean arterial pressure was significantly lower than the control group （P 0.05）,two groups of newborns with respiratory inhibition,respiratory depression degree observation group was significantly lower than the control group （P〈0.05）.Women were followed two groups of mothers postpartum no sensory disturbances or lower extremity ac-tivity limitation,difficulty breathing was not appear after extubation aspiration and other serious complications.Conclusion Preg-nancy with thrombocytopenia caesarean section with continuous spinal anesthesia anesthetic effect is good,safe and effective,with use value.
出处
《检验医学与临床》
CAS
2017年第A02期193-195,共3页
Laboratory Medicine and Clinic
关键词
妊娠
血小板减少症
剖宫产
连续腰麻
pregnancy
thrombocytopenia
cesarean section
continuous spinal anesthesia
