双管法硬膜外分娩镇痛转行剖宫产硬膜外麻醉的效果  

Effect of epidural anesthesia for cesarean section converted from epidural labor analgesia with double tubes

作　　者：蒋红娥 张春元[1] 吴靦 邓丽珍[1] JIANG Hong'e;ZHANG Chunyuan;WU Mian;DENG Lizhen(Department of Anesthesiology,Boai Hospital of Zhongshan,Guangdong,Zhongshan 528400,China)

机构地区：[1]广东省中山市博爱医院麻醉科,广东中山528400

出　　处：《中国医药科学》2021年第18期92-94,142,共4页China Medicine And Pharmacy

基　　金：广东省中山市医学科研项目(2020A020075)。

摘　　要：目的观察双管法硬膜外分娩镇痛转行剖宫产硬膜外麻醉效果。方法随机抽取2020年1-12月中山市博爱医院产科接收的产妇120例,所有产妇均在硬膜外分娩镇痛中途改行剖宫产术进行分娩;应用等量数字随机方式分组,试验组(n=60)给予双管硬膜外分娩镇痛,常规组(n=60)给予单管硬膜外分娩镇痛,对比观察两种硬膜外分娩镇痛方式转行剖宫产硬膜外麻醉效果。结果试验组的麻醉优良率和麻醉并发症发生率分别为91.67%(55/60)和10.00%(6/60),常规组的麻醉优良率和麻醉并发症发生率分别为78.33%(47/60)和25.00%(15/60);且试验组产后出血量相比常规组较少,新生儿Apgar评分较高;两组麻醉优良率、并发症发生率以及产后出血量、新生儿Apgar评分数据对比,差异有统计学意义(P<0.05)。结论双管法硬膜外分娩镇痛应用于转行剖宫产硬膜外麻醉中效果显著,还可以改善产妇的分娩结局,保证良好的预后效果。Objective To observe the effect of epidural anesthesia for cesarean section converted from epidural labor analgesia with double tubes.Methods From January to December 2020,120 puerperae admitted to the department of obstetrics in Boai Hospital of Zhongshan were randomly selected as the study subjects,and all puerperae were converted to cesarean section for delivery in the midway of epidural labor analgesia.These puerperae were grouped by using an equal number randomization method,the experimental group(n=60)used undergoing epidural labor analgesia with double tubes,and the conventional group(n=60)used undergoing epidural labor analgesia with single tube.The effects of the two epidural labor analgesia methods converted to epidural anesthesia for cesarean section were compared and observed.Results The excellent anesthesia rate and incidence of anesthesia complication in the experimental group were 91.67%(55/60)and 10.00%(6/60),respectively,while those in the conventional group were 78.33%(47/60)and 25.00%(15/60),respectively.Meanwhile,the postpartum blood loss in the experimental group was less than that in the conventional group,and the neonatal Apgar scores in the experimental group were higher than those in the conventional group.There were statistically significant differences between the two groups in terms of excellent anesthesia rate,incidence of complication,postpartum blood loss and neonatal Apgar scores(P<0.05).Conclusion The effect of epidural anesthesia for cesarean section converted from epidural labor analgesia with double tubes is significant,and it can improve the labor outcomes of puerperae and ensure good prognostic results.

关 键 词：双管阻滞法 硬膜外分娩镇痛 剖宫产 麻醉效果 分娩结局 麻醉并发症 

分 类 号：R614[医药卫生—麻醉学]