七氟醚吸入辅助硬膜外麻醉在子痫前期剖宫产术中的临床效果  

Clinical Effect of Sevoflurane Inhalation-assisted Epidural Anesthesia in Cesarean Section for Preeclampsia

作　　者：刘继东 李国振[1] Liu Jidong;Li Guozhen(Heze Shanxian Central Hospital,Heze 274300,Shandong Province,China)

机构地区：[1]菏泽市单县中心医院,山东菏泽274300

出　　处：《中外医药研究》2024年第7期30-32,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:分析七氟醚吸入辅助硬膜外麻醉在子痫前期剖宫产术中的临床效果。方法:选取2022年4月—2023年6月菏泽市单县中心医院收治的拟实施剖宫产终止妊娠的子痫前期患者86例为研究对象,按随机数字表方法分为对照组和观察组,各43例。对照组采用标准硬膜外麻醉,观察组采用七氟醚吸入辅助硬膜外麻醉。比较两组围术期风险事件发生率、胎儿娩出时间、阿普加评分、临床指标、满意度。结果:两组围术期风险事件发生率比较,差异无统计学意义(P>0.05);观察组胎儿娩出时间短于对照组,阿普加评分高于对照组,差异有统计学意义(P<0.001);观察组住院天数、运动神经阻滞时间、麻醉起效时间、初次母乳喂养时间短于对照组,住院费用低于对照组,手术出血量少于对照组,差异有统计学意义(P<0.001);观察组满意度高于对照组,差异有统计学意义(P=0.024)。结论:七氟醚吸入辅助硬膜外麻醉在子痫前期剖宫产术中有较好的应用效果,可缩短胎儿娩出时间,促进患者快速恢复,减少术中出血量,保证母婴健康,减轻医疗负担,患者满意度较高。Objective:To analyze the clinical effect of sevoflurane inhalation-assisted epidural anesthesia in cesarean section for preeclampsia.Methods:Eighty-six preeclampsia patients admitted to Heze Shanxian Central Hospital for termination of pregnancy by cesarean section from April 2022 to June 2023 were selected as study subjects,and were divided into a control group and an observation group of forty-three cases each according to the method of randomized numerical table.Standard epidural anesthesia was used in the control group,and sevoflurane inhalation-assisted epidural anesthesia was used in the observation group.The perioperative risk event rate,fetal delivery time,Apgar score,clinical indexes,and satisfaction were compared between the two groups.Results:The perioperative risk event rate of the two groups was compared,and the difference was not statistically significant(P>0.05);fetal delivery time in the observation group was shorter than that in the control group,and Apgar score was higher than that in the control group,and the difference was statistically significant(P<0.001);hospitalization days,motor nerve block time,anesthesia onset time,initial breastfeeding time in the observation group were shorter than that in the control group,hospitalization cost was lower than that in the control group,and surgical bleeding was less than that in the control group,with statistically significant differences(P<0.001);satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P=0.024).Conclusion:Sevoflurane inhalation-assisted epidural anesthesia has a better application effect in preeclampsia cesarean section,which can shorten the delivery time of the fetus,promote the patient's rapid recovery,reduce the amount of intraoperative hemorrhage,ensure the health of mothers and infants,and reduce the burden of medical care,and the patient's satisfaction is high.

关 键 词：七氟醚 硬膜外麻醉 子痫前期 剖宫产 

分 类 号：R614[医药卫生—麻醉学]