三种麻醉方法在高危高龄产妇剖宫产手术中的临床比较  

Comparison of three anesthesia methods in clinical high-risk elderly in cesarean section operation

作　　者：李艳玲 

机构地区：[1]黑龙江省牡丹江市第二人民医院麻醉科,黑龙江牡丹江157013

出　　处：《实用妇科内分泌电子杂志》2014年第7期47-48,共2页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的比较三种麻醉方法在高危高龄产妇剖宫产手术中的临床效果。方法选择我院收治的240例行剖宫产的高危高龄产妇,分成A组、B组和C组,分别给予静脉麻醉、硬膜外麻醉和腰硬联合麻醉的三种麻醉方式。比较三组麻醉方式的起效时间、平均动脉压(MAP)、Bromage评分及Apgar评分。结果从麻醉效果来看,A组的起效时间最短,其次为C组、B组,差异有统计学意义(P<0.05);C组的Bromage评分,其次为B组、A组,差异有统计学意义(P<0.05)。结论对于高危高龄产妇,腰硬联合麻醉要优于常规麻醉,能减少不良反应发生,镇痛效果好,阻滞完善,适合推广使用。Objective To compare the clinical effect of three methods of anesthesia in high risk elderly pregnancy in cesarean. Methods In our hospital 240 cases of cesarean section in high-risk older mothers, divided into A group,B group and C group, three kinds of anesthesia were given intravenous anesthesia and epidural anesthesia and combined spinal epidural anesthesia. Comparison of three groups of anesthesia onset time, MAP, Bromage score and Apgar score.Results From the effect of anesthesia, the onset time of group A was the shortest, followed by the C group, B group, the significant difference（P0.05）; group C Bromage score, followed by the B group, A group, the significant difference（P0.05）. Conclusion For high-risk maternal age, combined spinal epidural anesthesia is better than the conventional anesthesia, can reduce the incidence of adverse reactions, good analgesic effect, complete block, suitable for the promotion of.

关 键 词：剖宫产 高龄产妇 腰硬联合麻醉 硬膜外麻醉 

分 类 号：R614[医药卫生—麻醉学]