腰-硬联合麻醉与硬膜外腔麻醉在剖宫产术患者中的应用分析  

Analysis of the Application of Combined Spinal Epidural Anesthesia and Epidural Anesthesia in Patients Undergoing Cesarean Section

作　　者：杜春明[1] 刁俊[2] 

机构地区：[1]白城中心医院麻醉科,吉林白城137000 [2]白城市医院麻醉科,吉林白城137000

出　　处：《中国继续医学教育》2016年第33期84-85,共2页China Continuing Medical Education

摘　　要：目的对比腰硬联合麻醉与硬膜外腔麻醉在剖宫产患者中的应用效果。方法将140例剖宫产患者使用随机数字表法分为两组,分别给予腰硬联合麻醉(观察组70例)及硬膜外腔麻醉(对照组70例),对比患者麻醉效果并测定其麻醉阻滞显效时间、阻滞效果等指标。结果观察组患者麻醉效果优良率(97.1%)与对照组患者(78.6%)相比,明显高于对照组,差异有统计学意义(P<0.05)。观察组患者麻醉阻滞起效时间(60.2±9.7)min、麻醉阻滞效果评分(2.8±0.6)分,两组患者在麻醉阻滞起效时间、麻醉阻滞效果评分上对比差异有统计学意义(P<0.05)。结论腰硬联合麻醉相较于硬膜外腔麻醉能为剖宫产患者提供更加优秀的麻醉效果,在麻醉阻滞起效时间及阻滞效果上均优于硬膜外腔麻醉。Objective Comparison of combined spinal epidural anesthesia and epidural anesthesia in cesarean section patients results. Methods 140 cases of cesarean section were randomly divided into two groups, were given combined spinal epidural anesthesia（observation group, 70 cases） and epidural anesthesia（control group, 70 cases）, contrast the anesthetic effect and determination of the onset time of anesthesia, anesthesia effect index. Results The patients in the observation group anesthesia excellent rate（97.1%） and control group（78.6%） with significant difference and was significantly higher than the control group（P〈0.05）. Patients in the observation group anesthesia onset time（60.2±9.7） min, anesthesia effect score（2.8±0.6）, two groups of patients in anesthesia onset time, anesthesia effect scores were statistically significant differences（P〈0.05）. Conclusion Epidural anesthesia combined with epidural anesthesia can provide more excellent anesthesia effect for patients with cesarean section, the onset time of anesthesia block and block effect are superior to epidural anesthesia.

关 键 词：腰硬联合麻醉 硬膜外腔麻醉 剖宫产 

分 类 号：R614[医药卫生—麻醉学]