蛛网膜下腔麻醉与连续硬膜外麻醉在剖宫产麻醉中的应用效果对比  

Comparison between subarachnoid anesthesia and continuous epidural anesth esia in cesarean section

作　　者：汤洁[1] 史劲飞[1] 戴筱筱 TANG Jie;SHI Jinfei;DAI Xiaoxiao(Department of Anesthesiology,Anhui Armed Police Corps Hospital,Hefei 230041,China)

机构地区：[1]武警安徽省总队医院麻醉科,安徽合肥230041

出　　处：《当代医药论丛》2022年第7期112-114,共3页

摘　　要：目的:比较蛛网膜下腔麻醉(SAH)与连续硬膜外麻醉(CEA)在剖宫产(CD)麻醉中的应用效果。方法:将2016年4月至2021年3月期间在武警安徽省总队医院进行CD的产妇110例作为研究对象。按随机数表法将其分为SAH组和CEA组(55例/组)。对SAH组产妇实施SAH,对CEA组产妇实施CEA,然后对比两组产妇的麻醉效果。结果:SAH组产妇麻醉的优良率(98.18%)显著高于CEA组产妇麻醉的优良率(81.82%),P<0.05。SAH组产妇的感觉阻滞持续时间、最大感觉阻滞平面、最大感觉阻滞时间均显著优于CEA组产妇,P<0.05。两组产妇的1 min新生儿Apgar评分、5 min新生儿Apgar评分、新生儿断脐时间相比,P>0.05。结论:与实施CEA相比,对CD产妇实施SAH的效果较好,能够有效地提高其麻醉质量,缩短其感觉阻滞持续的时间。Objective:To compare the effect of subarachnoid anesthesia(SAH)and continuous epidural anesthesia(CEA)in cesarean section(CD)anesthesia.Methods:From April 2016 to March 2021,110 pregnant women who underwent CD in Anhui Corps Hospital of Armed Police force were selected as the research object.They were divided into SAH group and CEA group(55 cases/group)by random number table method.SAH was applied to the parturients of SAH group,CEA was applied to the parturients of CEA group,and then the anesthesia effect of the two groups was compared.Results:The excellent and good rate of maternal anesthesia in SAH group(98.18%)was significantly higher than that in CEA group(81.82%),P<0.05.The duration of sensory block,maximum sensory block level and maximum sensory block time in SAH group were significantly better than CEA group,P<0.05.The Apgar score of 1 min,Apgar score of 5 min and umbilicus amputation time were compared between the two groups,P>0.05.Conclusion:Compared with CEA,SAH has better effect on women with CD,can effectively improve the quality of anesthesia and shorten the duration of sensory block.

关 键 词：蛛网膜下腔麻醉 连续硬膜外麻醉 剖宫产 

分 类 号：R614[医药卫生—麻醉学]