摘要
目的:探讨瘢痕子宫剖宫产手术中采用腰硬联合麻醉与连续硬膜外麻醉的效果。方法:选取2018年12月-2019年10月笔者所在医院收治的行瘢痕子宫剖宫产手术的120例产妇,按照随机数字表法分为两组,对照组60例接受连续硬膜外麻醉,研究组60例接受腰硬联合麻醉。比较两组麻醉起效时间、新生儿娩出时间、手术时间、麻醉效果、新生儿情况及不良反应发生情况。结果:研究组麻醉起效时间、新生儿娩出时间、手术时间均优于对照组,差异均有统计学意义(P<0.05)。研究组镇痛良好、无牵拉反应、肌松良好比例均高于对照组,差异均有统计学意义(P<0.05)。两组新生儿体重及1、5 min Apgar评分比较差异均无统计学意义(P>0.05)。两组产妇寒战、恶心呕吐、低血压等不良反应发生率比较差异无统计学意义(P>0.05)。结论:瘢痕子宫剖宫产手术中采用腰硬联合麻醉可缩短新生儿娩出时间和手术时间,麻醉起效快,镇痛及肌松效果良好,且不增加不良反应,对新生儿无不良影响。
Objective:To explore the effect of combined spinal epidural anesthesia and continuous epidural anesthesia in cesarean section of cicatricial uterus.Method:From December 2018 to October 2019,120 women undergoing cesarean section for scar uterus admitted to the author’s hospital were selected,and were divided into two groups according to the random number table method,60 cases in the control group were under continuous epidural anesthesia,and 60 cases in the study group were under combined spinal epidural anesthesia.The onset time of anesthesia,delivery time,operation time,anesthesia effect,neonatal condition and adverse reactions were compared between the two groups.Result:The onset time of anesthesia,neonatal delivery time and operation time in the study group were better than those in the control group,the differences were statistically significant(P<0.05).The proportion of good analgesia,no traction reaction and good muscle relaxation in the study group was higher than that in the control group,the difference was statistically significant(P<0.05).There were no significant differences in neonatal weight,1 minute Apgar score and 5 minute Apgar score between the two groups(P>0.05).There was no significant difference in the incidence of chills,nausea and vomiting,hypotension and other adverse reactions between the two groups(P>0.05).Conclusion:In cesarean section of scar uterus,combined spinal epidural anesthesia can shorten the delivery time and operation time of the newborn.The effect of anesthesia is fast,the effect of analgesia and muscle relaxation is good,and the adverse reactions are not increased,and there is no adverse effect on the newborn.
作者
贺艳兰
雷燕霞
胡宗义
HE Yanlan;LEI Yanxia;HU Zongyi(Shenzhen Nanshan Maternal and Child Health Hospital,Shenzhen 518000,China)
出处
《中外医学研究》
2021年第5期143-145,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
瘢痕子宫
腰硬联合麻醉
连续硬膜外麻醉
剖宫产
Cicatricial uterus
Combined spinal and epidural anesthesia
Continuous epidural anesthesia
Cesarean section
