硬膜外麻醉和腰硬联合麻醉用于剖官产手术效果的比较  被引量:8

硬膜外麻醉和腰硬联合麻醉用于剖官产手术效果的比较

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作  者:王寿军[1] 李静[1] 林丽[1] 杨新颖[1] 

机构地区:[1]成都市第六人民医院,成都610051

出  处:《中国医疗前沿》2009年第6期35-36,共2页China Healthcare Innovation

摘  要:目的通过过对单纯硬膜外麻醉和腰硬联合麻醉用于剖官产手术效果的比较,旨在选择一种最为理想的麻醉方法。方法随机选择剖官产手术病人200例随机分成2组,I组为单纯硬膜外麻醉组,II组为腰硬联合麻醉组。术中监测BP、HR、Sp-O2、ECG;观察2种麻醉的起效时间、病人的耐受情况、是否需要辅助镇痛、镇静等;同时观察新生儿评分。结果两组麻醉起效时间差异有显著性,硬膜外麻醉组静脉辅助用药明显多于腰硬联合麻醉组,且术中盆腔深部牵拉反应重。I组部分病人手术牵拉时诉疼痛,伴鼓肠、腹肌紧张等内脏牵拉反应,个别病人出现恶心、呕吐:II组病人骶神经阻滞完善,术中镇痛肌松效果好,手术时间明显缩短,病人耐受好。讨论腰硬联合麻醉应用于剖宫产术具有起效快,镇痛和肌松效果好的优点。腰硬联合麻醉更能满足手术的各方面要求,是剖官产手术最为理想的麻醉方法。Object To select an ideal anesthetic method by comparing the operation effects of LSCS between EA and CSEA. Methods 200 LSCS patients were randomized into 2 groups.Group 1 was performed by EA.Group 2 was performed by CSEA.The blood pressure,heart rate,Sp-O2,ECG were recorded during operation.To observe the efficacious time, the patients's toleration between 2 groups,whether or not need assitant anaesthesia and sedation,et, and observe apgar score. Results There is a significant difference in efficacious time of 2 groups,Assistant drugs in EA is more than in CSEA.The tractive reaction of deep pelvic is more serious in EA.Some patients in group 1 complained about ache and visceral organ's tractive reaction such as bouffant bowel,abdominal muscles tention,seldom with nausea,vomitting. It is perfect that plexus sacralis was blocked in group 2.Efficacy of analgesia,muscle relaxation were well,the operation time was shortened significantly, the patients's toleration was good. Conclusion CESA in LSCS is highly efficacious,bon efficacy of analgesia and muscle relaxation. CESA can provide the demands in all aspects of operations.It is the most ideal anaesthesia method in LSCS.

关 键 词:腰硬联合麻醉 硬膜外麻醉 剖宫产 

分 类 号:R614[医药卫生—麻醉学]

 

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