椎管内麻醉与全身麻醉在妊娠期高血压疾病产妇剖宫产术中的应用及对新生儿的影响  

Application of Intravertebral Anesthesia and General Anesthesia in Cesarean Section of Pregnant Women with Hypertensive Diseases during Pregnancy and Its Influence on Newborns

作　　者：高铭晨 徐惠杰 GAO Mingchen;XU Huijie(Changzhou Maternal and Child Health Hospital,Changzhou 213000,China;不详)

机构地区：[1]常州市妇幼保健院,江苏常州213000

出　　处：《中外医学研究》2025年第7期119-122,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

基　　金：常州市科技计划项目(CJ20220244)。

摘　　要：目的:比较椎管内麻醉与全身麻醉在妊娠期高血压疾病产妇剖宫产术中的应用效果及对新生儿的影响。方法:选取2022年4月—2024年4月在常州市妇幼保健院接受剖宫产手术分娩的100例妊娠期高血压疾病产妇,根据其麻醉方式不同分为对照组、观察组,各50例。对照组采用全身麻醉,观察组则采取椎管内麻醉,比较两组麻醉指标、血流动力学指标、新生儿指标及不良结局。结果:观察组手术时间短于对照组,出血量少于对照组,差异有统计学意义(P<0.05)。两组不同时间平均动脉压(MAP)、血氧饱和度(SpO_(2))、心率(HR)比较,差异无统计学意义(P>0.05),手术开始5 min后(T_(1)),两组MAP、SpO_(2)、HR均低于麻醉前(T_(0))、手术结束时(T_(2));T_(0),两组MAP、SpO_(2)、HR均高于T_(2)、T_(1),差异有统计学意义(P<0.05)。观察组5 min Apgar得分高于对照组,差异有统计学意义(P<0.05)。观察组不良结局总发生率优于对照组,差异有统计学意义(P<0.05)。结论:椎管内麻醉用于妊娠期高血压疾病产妇剖宫术具有良好效果,可降低不良结局。Objective:To compare the application effects of intravertebral anesthesia and general anesthesia in cesarean section of pregnant women with hypertensive diseases during pregnancy and its influence on newborns.Method:A total of 100 pregnant women with hypertensive diseases during pregnancy who received cesarean section in Changzhou Maternal and Child Health Hospital from April 2022 to April 2024 were selected and divided into control group and observation group according to different anesthesia methods,with 50 cases in each group.The control group was given general anesthesia,and the observation group was given intravertebral anesthesia.Anesthetic indexes,hemodynamic indexes,neonatal indexes and adverse outcomes were compared between the two groups.Result:The operation time in the observation group was shorter than that of control group,and blood loss was less that in the control group,and the difference was statistically significant(P<0.05).There were no significant differences in mean arterial pressure(MAP),oxygen saturation(SpO_(2))and heart rate(HR)between the two groups at different times(P>0.05).At 5 min after operation(T_(1)),MAP,SpO_(2) and HR in the two groups were lower than those before anesthesia(T_(0))and at the end of operation(T_(2));at T_(0),MAP,SpO_(2) and HR of the two groups were higher than those at T_(2) and T_(1),and the differences were statistically significant(P<0.05).The 5 min Apgar score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse outcomes in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Intravertebral anesthesia for cesarean section in pregnant women with hypertensive diseases during pregnancy has good efficacy and can reduce adverse outcomes.

关 键 词：椎管内麻醉 妊娠期高血压疾病 剖宫产 

分 类 号：R614[医药卫生—麻醉学]