不同麻醉方式对剖宫产术后腰背痛发生率的影响  

A Comparison of Incidence of the Low Back pain in the Cesarean Section Patients Undergoing Spinal-epidural Anesthesia、Spinal Anesthesia and General Anesthesia

作　　者：杨帆[1] 蒋鹏飞[1] 王琼华[1] 许斌兵[1] 杨春亮[2] 

机构地区：[1]遂宁市中心医院,四川遂宁629000 [2]哈尔滨医科大学,黑龙江哈尔滨150081

出　　处：《现代生物医学进展》2014年第14期2730-2732,共3页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(81102110)

摘　　要：目的:比较使用不同麻醉方式进行剖宫产术后腰背痛的发生率。方法:拟行剖宫产手术待产孕妇150例,年龄22-35岁,美国麻醉医师协会分级(American Society of Anesthesiologists,ASA)Ⅰ或Ⅱ级,随机分为3组(n=50),包括腰硬联合麻醉组(CSE组);25G腰穿针蛛网膜下腔麻醉组(S组);全身麻醉组(G组),观察并比较术后2天、7天、30天腰背痛发生情况。结果:三组产妇一般情况,手术时间无显著差异。术后2天、7天,S组与G组腰背痛发生率无显著差异,但这两组腰背痛发生率低于CSE组,且差异有统计学意义;术后30天三组腰背痛发生率差异无统计学意义。结论:25G腰穿针蛛网膜下腔麻醉和全身麻醉可降低剖宫产术后近期腰背痛的发生。Objective： To compare the incidence of low back pain（LBP） in different methods of anesthesia for cesarean section. Methods： 150 ASA I or Ⅱ patients aged 22-35 weighing 63-85 kg were randomly divided into 3 groups（n=50 each） including Spinal-epidural group（group CSE）, Spinal group（group S）, General group（group G）received spinal-epidural anesthesia, spinal anesthesia using 25G needle and general anesthesia respectively. Patients were asked about the incidence of LBP during 2,7and 30 days post of surgery. Results： Three groups of patients characteristics and duration of surgery had no significant difference. The incidence of LBP in group S and G was significantly lower than that in group CSE, but the differences between group S and G was no statistically significant after 2,7days. There were no significant differences, in the incidence of LBP after 30 days in groups. Conclusion： Spinal anesthesia using 25G needle and general anesthesia can decrease the incidence of LBP after cesarean section in comparison with spinal-epidural anesthesia in short term.

关 键 词：腰硬联合麻醉 蛛网膜下腔麻醉 全身麻醉 腰背痛 

分 类 号：R614[医药卫生—麻醉学] R719[医药卫生—外科学]