钢丝加强型硬膜外导管在剖宫产术腰硬联合阻滞麻醉中的应用  

Application of wire-reinforced epidural catheter in combined spinal-epidural anesthesia for cesarean section

作　　者：倪欢欢[1] 杨玉玲[1] 何亮[1] 陈惠裕[1] 

机构地区：[1]南京医科大学第二附属医院麻醉科,210011

出　　处：《中华全科医师杂志》2016年第2期141-143,共3页Chinese Journal of General Practitioners

摘　　要：2014年10—12月对100例单胎足月妊娠行剖宫产孕妇采用国产钢丝加强型硬膜外导管穿刺腰硬联合阻滞麻醉，并与采用普通聚氯乙烯硬膜外导管的100例孕妇比较。钢丝加强型硬膜外麻醉导管组硬膜外导管回抽出淡红色血水、硬膜外导管置入血管及术后拔除硬膜外导管见尾端有淡红色血水的例数分别为3、0、6例，低于聚氯乙烯导管组的12、7、16例（均P〈0．05），而两组硬膜外穿刺针针尾见淡红色血水例数（2与3例）差异无统计学意义（P〉0．05）。在剖宫产腰硬联合麻醉中，国产钢丝加强型硬膜外导管可减少硬膜外导管置入血管及血管损伤的发生。Two hundred women with singleton pregnancy at full term undergoing cesarean section with combined spinal-epidural anesthesia were randomly assigned into 2 groups （n = 100 in each group）. During anesthesia the polyvinyl chloride epidural catheter was used in control group and the wire-reinforced epidural catheter was used in study group. The results showed that the number of patients in whom blood or blood-tinted fluid was withdrawn from epidural catheter was significantly lower in study group than that in control group. The domestic wire-reinforced epidural catheter can reduce the incidence of blood vessel injury induced by insertion of epidural catheter.

关 键 词：硬膜外导管 血管损伤 

分 类 号：R614[医药卫生—麻醉学]