对行剖宫产的重度妊高症产妇实施持续性硬膜外阻滞麻醉的效果分析

发布时间：2018-11-19 22:26

【摘要】：目的 :探讨对进行剖宫产的重度妊高症(妊娠期高血压综合征)产妇实施持续性硬膜外阻滞麻醉的临床效果。方法 :对近年来在我院进行剖宫产的84例重度妊高症产妇的临床资料进行回顾性研究。在这84例产妇进行剖宫产时,我院对她们进行了持续性硬膜外阻滞麻醉。剖宫产结束后,观察这84例产妇在T1(麻醉前)、T2(麻醉起效后)、T3(切皮时)、T4(缝合时)和T5(手术结束后)的舒张压、收缩压、心率以及其新生儿呼吸情况的评分。结果 :与T1相比,这84例产妇在T2、T3、T4的收缩压、舒张压和心率均有明显的下降,差异有统计学意义(P0.05)。这84例产妇T5的收缩压、舒张压和心率与T1相比无统计学意义(P0.05)。这84例产妇新生儿呼吸情况的评分在6~10分之间,平均评分为8.46±1.01分。结论 :对进行剖宫产的重度妊高症产妇实施持续性硬膜外阻滞麻醉的效果确切,而且不会对新生儿的呼吸情况产生影响。
[Abstract]:Objective: to investigate the clinical effect of continuous epidural block anesthesia for severe pregnancy-induced hypertension syndrome (PIH) undergoing cesarean section. Methods: the clinical data of 84 cases of severe pregnancy induced hypertension (PIH) in our hospital in recent years were retrospectively studied. In 84 cases of cesarean section, they were anesthetized by continuous epidural block in our hospital. After cesarean section, diastolic blood pressure (DBP), systolic blood pressure (SBP) were observed in 84 cases at T1 (before anesthesia), T2 (after anaesthesia), T3 (skin incision), T4 (suture) and T5 (after operation). Heart rate and the score of neonatal respiration. Results: compared with T1, the systolic blood pressure, diastolic blood pressure and heart rate of 84 cases of parturient in T _ 2 T _ 3 and T _ 4 were significantly lower than those in T _ (2) T _ (3) T _ (4) (P0.05). There was no significant difference in systolic blood pressure, diastolic blood pressure and heart rate between T _ 1 and T _ 1 (P 0.05). The respiratory status of the 84 newborns ranged from 6 to 10, with an average score of 8.46 卤1.01. Conclusion: the effect of continuous epidural block anesthesia on severe pregnancy-induced hypertension (PIH) women undergoing cesarean section is effective, and it has no effect on the respiratory condition of newborns.
【作者单位】：北京市昌平区妇幼保健院麻醉科;
【分类号】：R614

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