摘要
目的探讨腰-硬联合麻醉应用于剖宫产术对妊娠结局和产妇血流动力学指标的影响。方法选取医院2021年3月至2022年9月收治的行剖宫产手术产妇48例,并按麻醉方式的不同分为对照组和观察组,各24例。对照组开展连续性硬膜外麻醉,观察组开展腰-硬联合麻醉,比较两组的麻醉效果及对妊娠结局的影响。结果观察组产妇的不良妊娠结局发生情况、血流动力学指标、麻醉效果(起效时间与维持时间)、产妇的不良反应发生情况、生活质量评分等均显著优于对照组(P<0.05);新生儿的血气指标及产妇术后12 h的生活质量评分与对照组无显著差异(P>0.05)。结论腰-硬联合麻醉应用于剖宫产术麻醉效果良好,可改善妊娠结局和产妇的血流动力学指标。
Objective To investigate the effect of combined lumbar epidural anesthesia on pregnancy outcomes and maternal hemodynamic indicators during cesarean section.Methods A total of 48 postpartum women underwent cesarean section admitted to the hospital from March 2021 to September 2022 were selected and divided into the control group and the observation group according to different anesthesia methods,with 24 cases in each group.The control group received continuous epidural anesthesia,while the observation group received combined lumbar epidural anesthesia.The anesthesia effects and their impact on pregnancy outcomes were compared between the two groups.Results The incidence of adverse pregnancy outcomes,hemodynamic indicators,anesthesia effect(onset and maintenance time),incidence of adverse reactions,and quality of life scores in the observation group were significantly better than those in the control group(P<0.05).There was no significant difference in the blood gas indicators of newborns and the quality of life score of postpartum women at 12 h after operation compared between the two group(P>0.05).Conclusion Combined lumbar epidural anesthesia in cesarean section has a good anesthetic effect,which can improve pregnancy outcomes and hemodynamic indicators of the postpartum women.
作者
张连刚
ZHANG Liangang(Family Planning Service Center of Xinjin District Maternal and Child Health Hospital,Chengdu,Sichuan,China 611430)
出处
《中国药业》
CAS
2023年第S01期93-95,共3页
China Pharmaceuticals
关键词
腰-硬联合麻醉
剖宫产
妊娠结局
血流动力学指标
combined spinal epidural anesthesia
cesarean section
pregnancy outcome
hemodynamic indicators
