钢丝加强型硬膜外导管与普通聚氯乙烯硬膜外导管对剖宫产产妇硬膜外血管损伤及麻醉效果的影响

发布时间：2018-01-25 12:47

本文关键词： 钢丝加强型硬膜外导管普通聚氯乙烯硬膜外导管剖宫产产妇血管损伤麻醉效果　出处：《包头医学院学报》2016年06期 　论文类型：期刊论文

【摘要】：目的:对比分析钢丝加强型硬膜外导管与普通聚氯乙烯硬膜外导管对剖宫产产妇硬膜外血管损伤及麻醉效果的影响。方法:回顾性分析了2014年1月至2015年7月进行剖宫产的产妇300例临床资料,按照采用麻醉导管差异分为观察组150例(采用钢丝加强型硬膜外导管)、对照组150例(采用普通聚氯乙烯硬膜外导管),对两组剖宫产产妇血管损伤情况及麻醉效果进行对比分析。结果:两组患者均顺利麻醉,且麻醉效果良好。观察组患者硬膜外阻滞时发生置管异感、回抽有血、置管不畅以及回抽见脑脊液情况均少于对照组,差异均有统计学意义(P0.05)。观察组置管后发生拔管后出血、术后易感的情况少于对照组,差异有统计学意义(P0.05)。结论:钢丝加强型硬膜外导管与普通聚氯乙烯硬膜外导管相比,对剖宫产产妇硬膜外麻醉的麻醉效果无差异,对比血管损伤情况降低,优于普通聚氯乙烯硬膜外导管。
[Abstract]:Objective: to compare and analyze the effect of steel wire reinforced epidural catheter and common PVC epidural catheter on epidural vascular injury and anaesthesia in cesarean section. The clinical data of 300 cases of cesarean section from January 2014 to July 2015 were analyzed retrospectively. According to the difference of anesthetic catheter, 150 cases were divided into observation group (using steel wire reinforced epidural catheter) and control group (150 cases were treated with common PVC epidural catheter). The blood vessel injury and anaesthesia effect of cesarean section in two groups were compared and analyzed. Results: all the patients in the two groups were anesthetized smoothly and the anesthetic effect was good. The patients in the observation group had different sense of catheterization during epidural block and blood was drawn back. The incidence of obstruction and drainage of cerebrospinal fluid in the observation group was less than that in the control group, and the difference was statistically significant (P 0.05). Bleeding after extubation occurred in the observation group, and the incidence of postoperative susceptibility was less than that in the control group. Conclusion: there is no difference between steel wire reinforced epidural catheter and common PVC epidural catheter in epidural anesthesia for cesarean section parturient. Compared with the reduction of vascular injury, it is superior to the common PVC epidural catheter.
【作者单位】：佛山市顺德区均安医院;
【分类号】：R614
【正文快照】： 剖宫产手术通常采用腰硬联合麻醉方式,具有起效迅速、镇痛效果良好以及肌松的优点,被广泛的应用于剖宫产手术中[1]。行腰硬联合麻醉,需置入硬膜外导管,目前临床主要采用的导管包括钢丝加强型硬膜外导管与普通聚氯乙烯硬膜外导管,是否不同导管能够影响在麻醉效果、不良事件发生

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