腰麻联合硬膜外麻醉在基层医院用于剖宫产的临床观察  

Clinical Observation of Combined Spinal Anesthesia and Epidural Anesthesia for Cesarean Section in Primary Hospitals

作　　者：韦福文 Wei Fuwen(Lingui Xicheng Hospital,Guilin,Guangxi 541100)

机构地区：[1]临桂西城医院,广西桂林541100

出　　处：《中外健康》2024年第2期4-6,共3页

摘　　要：分析腰麻联合硬膜外麻醉用于基层医院剖宫产的临床效果。选择临桂西城医院2021年1月—2023年12月期间实施剖宫产的产妇242例作为研究对象,均是足月单胎产妇,以麻醉方式的差异分组,即A组和B组,A组121例产妇单纯地实施硬膜外麻醉,B组121例产妇联合实施腰麻和硬膜外麻醉,比较指标有麻醉起效时间、麻醉恢复时间、新生儿窒息程度(Apgar评分)、产妇运动感觉阻滞情况、麻醉效果及不良反应发生情况。结果显示,B组麻醉起效时间和麻醉恢复时间均更短,新生儿Apgar评分更高(P<0.05);B组运动阻滞起效时间、感觉阻滞起效时间、运动阻滞完善时间及感觉阻滞完善时间均更短(P<0.05);B组麻醉效果明显优于A组(P<0.05);A组和B组不良反应发生率无显著差异(P>0.05)。研究发现在基层医院剖宫产中联合应用腰麻和硬膜外麻醉,麻醉效果更为理想,不良反应少,值得推广普及。To analyze the clinical efficacy of spinal anesthesia combined with epidural anesthesia for cesarean section in primary hospitals.242 parturients who underwent cesarean section at Xicheng Hospital in Lingui from January 2021 to December 2023 were selected as the research subjects.They were all full-term singleton parturients and were divided into two groups based on the difference in anesthesia methods:Group A and Group B.121 parturients in Group A received epidural anesthesia alone,while 121 parturients in Group B received a combination of spinal anesthesia and epidural anesthesia.The comparative indicators included anesthesia onset time,anesthesia recovery time,degree of neonatal asphyxia(Apgar score),maternal motor sensory blockade,anesthesia effect,and incidence of adverse reactions.The results showed that the onset time and recovery time of anesthesia in group B were shorter,and the Apgar score of newborns was higher(P<0.05);The onset time of motor block,sensory block,completion time of motor block,and completion time of sensory block in Group B were all shorter(P<0.05);The anesthesia effect of group B was significantly better than that of group A(P<0.05);There was no significant difference in the incidence of adverse reactions between Group A and Group B(P>0.05).Research has found that the combined use of spinal anesthesia and epidural anesthesia in cesarean section in primary hospitals has more ideal anesthesia effects and fewer adverse reactions,and is worthy of promotion and popularization.

关 键 词：剖宫产 腰麻 硬膜外麻醉 基层医院 不良反应 

分 类 号：R614[医药卫生—麻醉学]