硬-腰联合麻醉用于新式剖宫产术中的观察  

Effect of combined spinal epidural analgesia in Misgav Ladach cesarean section

作　　者：余燕云[1] 徐志勇[1] 张文娟[1] 施勤[1] 

机构地区：[1]无锡市妇幼保健院麻醉科,江苏无锡214002

出　　处：《东南大学学报（医学版）》2003年第6期396-398,共3页Journal of Southeast University(Medical Science Edition)

摘　　要：目的 :比较硬 腰联合麻醉 (CSEA)与硬膜外阻滞麻醉 (EA)在新式剖宫产术中应用的效果。方法 :健康足月妊娠产妇2 0 89例 ,随机分为EA组 (1193例 )和CSEA组 (896例 ) ,比较两种麻醉方法的麻醉效果。结果 :CSEA组阻滞平面达T6 的时间、麻醉诱导至胎儿娩出时间、手术至胎儿娩出时间均短于EA组 (P <0 .0 5 ) ,镇痛效果、肌肉松弛满意率均优于EA组 ,但低血压发生率高于EA组 (P <0 .0 5 )。结论 :CSEA用于新式剖宫产术起效快、阻滞完善 。Objective To compare the effect of combined spinal epidural analgesia(CSEA)with that of epidural analgesia(EA) in Misgav Ladach cesarean section.Method 2-098 healthy mature pregnant women were randomly assigned to CSEA group(n=1-193)and EA group(n=896). Results The durations from anesthetic induction to delivery were shorter in CSEA group than in EA group(P<0.05). The effects of analgesia and muscular relaxation were better in CSEA group than in EA group. But the incidence of hypotension was higher in CSEA group than in EA group(P<0.05).Conclusion The effect of CSEA in Misgav Ladach cesarean section is better than that of EA, but hypotension should be prevented in CSEA.

关 键 词：硬—腰联合麻醉 新式剖宫产 硬膜外阻滞麻醉 足月妊娠 低血压 镇痛 

分 类 号：R719.8[医药卫生—妇产科学] R614.4[医药卫生—临床医学]