摘要
目的比较腰硬膜外联合麻醉和持续硬膜外麻醉在高龄剖宫产手术中的应用效果。方法选取2017年1月至2018年8月在新疆生产建设兵团六师芳草湖医院行剖宫产手术的108例高龄产妇,随机分为两组,每组54例。研究组给予腰硬膜外联合麻醉,对照组给予持续硬膜外麻醉,比较两组产妇麻醉前后血压、心率变化、麻醉起效时间、镇痛维持时间以及感觉阻滞达到最高平面时间。结果麻醉前后,研究组收缩压、舒张压及心率比较差异无统计学意义(P>0.05);麻醉后,对照组收缩压、舒张压及心率均低于麻醉前,差异有统计学意义(P<0.05);与对照组比较,研究组麻醉起效时间与感觉阻滞达到最高平面时间均更短,镇痛时间更长,差异有统计学意义(P<0.05)。结论在高龄剖宫产手术中,腰硬膜外联合麻醉效果优于硬膜外麻醉。
Objective To compare the application effects of combined spinal-epidural anesthesia(CSEA)and continuous epidural anesthesia(CEA)in elderly cesarean section.Methods 108 elderly pregnant women with cesarean section in the hospital from January 2017 to August 2018 were randomly divided into two groups,with 54 cases in each group.Research group was given CSEA,and control group was given CEA.The blood pressure and heart rate before and after anesthesia,onset time of anesthesia,maintenance time of analgesia,time of sensory block reaching the highest plane were compared between the two groups.Results Before and after anesthesia,there was no statistical difference in the systolic pressure,diastolic pressure and heart rate between the two groups(P>0.05),After anesthesia,the systolic pressure,diastolic pressure and heart rate in control group were lower than those before anesthesia and research group(P<0.05).Compared with control group,the onset time of anesthesia and the time of sensory block reaching the highest plane in research group were shorter,and the duration of analgesia in research group was longer(P<0.05).Conclusion The effect of CSEA is better than that of CEA in elderly cesarean section.
作者
蒋平军
JIANG Pingjun(Department of Anesthesiology,Fangcaohu Hospital in Tubi County of Hutubi,Xinjiang,Changji,Xinjiang 831208,China)
出处
《大医生》
2019年第10期12-13,共2页
Doctor
关键词
腰硬膜外联合麻醉
持续硬膜外麻醉
高龄剖宫产手术
combined spinal-epidural anesthesia
continuous epidural anesthesia
elderly cesarean section
