摘要
目的:探讨腰硬膜外联合麻醉和持续硬膜外麻醉在剖宫产中的效果及对母婴结局的影响。方法:收治剖宫产患者124例,随机分为对照组和试验组,每组各62例。对照组采用持续硬膜外麻醉,试验组采用腰硬膜外联合麻醉,比较两组麻醉效果、胎儿Apgar评分及血气分析结果、不良反应发生率。结果:试验组显效时间、局部麻醉麻药用量、达到最高阻滞平面时间、Apgar评分、PaCO_2、PaO_2、pH和不良反应发生率均优于对照组(P<0.05)。结论:针对剖宫产患者应用腰硬膜外联合麻醉可取得良好麻醉效果,安全性高,对新生儿影响小。
Objective：To explore the application of combined spinal epidural anesthesia and continuous epidural anesthesia in cesarean section and its impact on maternal and neonatal outcomes.Methods：124 caesarean section patients were selected,they were randomly divided into the control group and the experimental group.The control group was given continuous epidural anesthesia and the experimental group was given combined spinal epidural anesthesia,we compared the anesthesia effect,fetal Apgar score,blood gas analysis and adverse reaction rate between the two groups.Results：In the experimental group,the effective time,the dosage of local anesthetics,the time to the highest block level,Apgar score PaCO~,PaO~,pH and the incidence of adverse reactions were better than those in the control group（P〈 0.05）.Conclusion：For cesarean section patients,the application of combined spinal epidural anesthesia can achieve good anesthesia effect,the safety was high,its impact on the newborn was small.
作者
韩琼
Han Qiong(The People＇s Hospital of Zigui County,Yichang,Hubei 44360)
出处
《中国社区医师》
2018年第33期38-39,共2页
Chinese Community Doctors
关键词
腰硬膜外联合麻醉
持续硬膜外麻醉
剖宫产
母婴结局
Combined spinal epidural anesthesia
Continuous epidural anesthesia
Cesarean section
Maternal and neonatal outcomes
