腰硬联合麻醉在剖宫产术中的应用  

Clinical observation of combined spinal-epidural snesthesia in cesarean section

作　　者：张宁平[1] 潘志强[1] 

机构地区：[1]中国人民解放军第478医院麻醉科,昆明市650200

出　　处：《临床合理用药杂志》2011年第11期37-38,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的观察腰硬联合麻醉在剖宫产术中的临床疗效及安全性。方法将100例拟行剖宫产术的健康产妇随机分为腰硬联合麻醉(CSEA)组和硬膜外(CEA)组,各50例。CEA组单纯硬膜外注入2%利多卡因,CSEA组蛛网膜下腔注入0.5%布比卡因2.5ml。观察2组麻醉起效时间、镇痛和肌松效果、新生儿评分情况以及不良反应。结果 CSEA组麻醉起效快,镇痛和肌松效果好,与CEA组比较差异均有统计学意义(P<0.05);2组新生儿评分及术中低血压、术后头痛等不良反应发生率比较差异均无统计学意义(P>0.05)。结论腰硬联合麻醉起效迅速,具有良好的镇痛和肌松作用,用于剖宫产术有良好的临床应用前景。Objective To observe the clinical effect and safety of combined spinal-epidural anesthesia in cesarean section.Methods 100 cases of patients were randomly divided into combined spinal-epidural anesthesia（CSEA） group and combined epidural anesthesia（CEA） group,each of 50 cases.CEA group received 2% lidocaine at epidural space only,CSEA group received 0.5% bupivacaine 2.5ml.Observed anesthesia onset time,analgesic and muscle relaxation effect,neonatal score situation and adverse reactions of 2 groups.Results Patients of CSEA group,rapid onset of anesthesia fast,analgesia and muscle relaxation effect nice,compared with CEA group,the difference were statistically significant（P〈0.05）;Neonatal score and intraoperative hypotension,postoperative headache incidence of adverse reactions of 2 group were no significant difference（P〈0.05）.Conclusion CSEA for cesarean section is safety and effective anesthesia,which is rapid effect and with good analgesia and muscle relaxation.

关 键 词：腰硬联合麻醉 硬膜外麻醉 剖宫产术 

分 类 号：R614[医药卫生—麻醉学]