对行剖宫产手术的产妇进行腰麻联合硬膜外麻醉的效果观察

发布时间：2018-05-24 20:17

本文选题：剖宫产术 + 腰麻　；参考：《当代医药论丛》2016年07期

【摘要】：目的 :探讨对行剖宫产手术的产妇进行腰麻联合硬膜外麻醉的效果。方法 :选取近期在我院进行剖宫产手术的83例产妇作为研究对象。随机将这些产妇分为联合组和单一组,联合组中有42例产妇,单一组中有41例产妇。对联合组产妇在手术时进行腰麻联合硬膜外麻醉,对单一组产妇在手术时进行硬膜外麻醉。然后比较两组产妇的术中出血量、麻醉起效的时间、感觉神经阻滞的程度、Bromage评分、麻醉药物使用的剂量、不良反应的发生情况及其娩出新生儿的Apgar评分。结果 :经过麻醉后,联合组产妇在术中的出血量、麻醉起效的时间、感觉神经阻滞的程度、Bromage评分、麻醉药物使用的剂量及不良反应的发生率均明显优于单一组产妇,差异显著,具有统计学意义(P0.05)。两组产妇娩出新生儿的Apgar评分相比无显著性差异,无统计学意义(P0.05)。结论:对行剖宫产手术的产妇进行腰麻联合硬膜外麻醉可以快速达到良好的麻醉、镇痛效果,对母婴造成的负面影响较小,产妇不易发生不良反应。
[Abstract]:Objective: to investigate the effect of spinal anesthesia combined with epidural anesthesia on parturient undergoing cesarean section. Methods: 83 cases of cesarean section in our hospital were selected. These puerperas were randomly divided into two groups: the combined group (42 cases) and the single group (41 cases). Spinal anesthesia combined with epidural anesthesia was performed in the combined group, and epidural anesthesia was performed in the single group. Then, the amount of intraoperative bleeding, the time of onset of anesthesia, the degree of sensory nerve block, the dose of anesthetic drugs, the occurrence of adverse reactions and the Apgar score of newborn were compared between the two groups. Results: after anesthesia, the amount of blood loss, the time of onset of anesthesia, the degree of sensory nerve block, the dose of anesthetic and the incidence of adverse reactions in the combined group were significantly better than those in the single group. The difference was significant (P 0.05). There was no significant difference in Apgar score between the two groups. Conclusion: Spinal anesthesia combined with epidural anesthesia for parturient undergoing caesarean section can quickly achieve good anaesthesia, analgesic effect, the negative effect on mother and child is small, and adverse reactions are not easy to occur in parturient.
【作者单位】：临沧市临翔区妇幼保健院;
【分类号】：R614

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