不同麻醉方式对剖宫产术的临床应用效果  

Clinical Application Effect of Different Anesthesia Methods on Cesarean Section

作　　者：吴霜婷[1] 黄磊[2] 郭彩茹[2] 王琛琛[2] 郭晓静[2] 王亮[2] 任卫华[2] 

机构地区：[1]郑州大学附属洛阳中心医院麻醉科,河南洛阳471009 [2]郑州大学附属洛阳中心医院中心实验室,河南洛阳471009

出　　处：《中国继续医学教育》2016年第13期67-68,共2页China Continuing Medical Education

基　　金：河南省基础与前沿科技研究项目152300410007

摘　　要：目的：探讨不同麻醉方式对于剖宫产手术的临床效果。方法选取我院2015年3月～ 2016年3月收治的160例产妇，随机分成两组， A组产妇接受硬膜外麻醉，B组产妇接受腰麻联合硬膜外麻醉，对比两组患者的麻醉起效时间、麻醉效果以及新生儿的Apgar评分。结果 A组产妇麻醉起效时间短于B组，差异具有统计学意义（P＜0.05）；A组产妇的麻醉效果优于B组，差异具有统计学意义（P＜0.05）；A、B两组新生儿的Apgar评分差异对比无统计学意义（P＞0.05）。结论腰麻联合硬膜外麻醉临床效果好，起效时间短，对新生儿Apgar评分无明显影响。Objective To investigate the clinical effects of different anesthesia methods for cesarean section.Methods Selected from March 2015 to March 2016 in our hospital, 160 cases of pregnant women were randomly divided into two groups, a group of mothers received epidural anesthesia, parturient in group B received spinal anesthesia combined with epidural anesthesia, compared two groups of patients with anesthesia onset time, anesthesia effect and neonatal apgar score.Results A group of maternal anesthesia onset time was shorter than group B, was difference had statistical signiifcance （P〈0.05）, a group of maternal anesthesia was better than the B group, was difference had statistically signiifcance （P〈0.05）. two groups of neonatal Apgar score, the difference had no statistical signiifcance （P〉0.05）.Conclusion Combined spinal epidural anesthesia in the clinical effect, the onset time is short and has no obvious effect on the neonatal Apgar score.

关 键 词：硬膜外麻醉 腰麻 临床效果 

分 类 号：R614[医药卫生—麻醉学]