对行剖宫产手术的重度子痫前期产妇实行腰硬联合麻醉的可行性与安全性分析

发布时间：2018-09-12 11:45

【摘要】：目的 :探讨对行剖宫产手术的重度子痫前期产妇进行腰硬联合麻醉的可行性与安全性。方法 :选取近期我院收治的50例重度子痫前期产妇和50例健康产妇作为研究对象。所有产妇均使用剖宫产手术进行治疗,且手术时均进行腰硬联合麻醉。将50例重度子痫前期产妇作为子痫组,将50例健康产妇作为健康组。然后比较两组产妇麻醉前后的心率、血压、血氧饱和度及麻醉不良反应的发生情况。结果 :麻醉后,两组产妇的心率、收缩压、舒张压及血氧饱和度均明显下降,与麻醉前相比,差异具有统计学意义(P0.05);两组产妇的心率、收缩压、舒张压、血氧饱和度及麻醉不良反应的发生率相比,差异无统计学意义(P0.05)。结论:对行剖宫产手术的重度子痫前期产妇实行腰硬联合麻醉具有可行性,且安全性较高。需要注意的是,临床医生应严格把握麻醉药物的使用剂量,并密切监测产妇的生命指标,以确保其安全。
[Abstract]:Objective: to investigate the feasibility and safety of combined spinal-epidural anesthesia for severe preeclampsia during cesarean section. Methods: 50 cases of severe preeclampsia and 50 cases of healthy women were selected. All parturients were treated by cesarean section and combined spinal-epidural anesthesia. 50 cases of severe preeclampsia were treated as eclampsia group and 50 healthy women as healthy group. Heart rate, blood pressure, blood oxygen saturation and adverse reaction of anesthesia were compared before and after anesthesia. Results: after anesthesia, the heart rate, systolic blood pressure, diastolic blood pressure and blood oxygen saturation of the two groups were significantly decreased compared with those before anesthesia (P0.05), the heart rate, systolic blood pressure, diastolic blood pressure of the two groups were significantly lower than those before anesthesia (P0.05). There was no significant difference in the incidence of blood oxygen saturation and adverse reaction of anesthesia (P0.05). Conclusion: combined spinal-epidural anesthesia for severe preeclampsia during cesarean section is feasible and safe. It should be noted that clinicians should strictly control the dosage of narcotic drugs and closely monitor maternal life indicators to ensure their safety.
【作者单位】：河南省许昌市鄢陵县人民医院麻醉科;
【分类号】：R614

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