25号腰穿针单刺麻醉在初产单胎剖宫产术的应用  

Application of Single Anesthesia Using 25 G Lumbar Puncture Needle in Cesarean for Primiparous Women with Singleton Pregnancy

作　　者：薛海霞 崔晓丽 周宛建 

机构地区：[1]南通市如皋博爱医院麻醉科,江苏南通226500

出　　处：《中外医疗》2015年第19期51-53,共3页China & Foreign Medical Treatment

摘　　要：目的探讨25 G腰穿针单刺麻醉在初产单胎剖宫产术的应用。方法整群选取2014年1—11月在该院接受剖宫产术的260例产妇,随机分为单刺腰麻组(SA组n=130例),腰硬联合麻醉组(CSEA组,n=130例)。观察两组产妇术中平均动脉压(MAP)、心率(HR)的变化,记录麻醉操作时间,穿刺成功率及麻醉效果,对术后并发症进行比较。结果两组产妇麻醉过程中HR、MAP的变化差异无统计学意义(P>0.05);穿刺成功率和麻醉效果比较差异无统计学意义(P>0.05);麻醉操作时间SA组短于CSEA组(P<0.01);术后感觉运动障碍和硬脊膜穿破后头痛发生率CSEA组稍高于SA组,但差异无统计学意义(P>0.05)。结论 25G腰穿针单刺腰麻比腰-硬联合麻醉操作更快、更简单,损伤更小,可以满足初产单胎剖宫产术的要求,是良好选择。Objective To investigate the application of single anesthesia using 25 G lumbar puncture needle in cesarean for primi-parous women with singleton pregnancy. Methods 260 parturients who received cesarean in our hospital from January 2014 and November 2014 were selected and divided into single anesthesia （SA,n=130） and combined spinal-epidural anesthesia （CSEA,n=130）. The changes of intraoperative mean arterial pressure （MAP） and heart rate （HR） were observed, the anesthesia operation time, accuracy of venepuncture and anesthetic effect was recorded and postoperative complications were compared. Results There were no statistically significant differences between the changes of HR and MAP, accuracy of venepuncture and anesthetic effect of the two groups.（P〉0.05）; the anesthesia operation time of the SA groups was shorter than that of the CESA groups, and there was sta-tistically significant differences between them （P〈0.01）;the incidence of motor and sensory function obstacle and post-dural punc-ture headache of the CSEA group were slightly higher than those of the SA group, and there were no statistically significant differ-ences （P〉0.05）. Conclusion Compared with CSEA, SA is more quick and easy to operate and with minimum damage. It can meet the requirements of cesarean for primiparous women with singleton pregnancy, so it is a good choice.

关 键 词：剖宫产 单刺腰麻 腰-硬联合麻醉 

分 类 号：R4[医药卫生—临床医学]