[1]王海霞.腰麻联合硬膜外麻醉对剖宫产术麻醉效果的影响[J].医学信息,2019,(20):100-102.[doi:10.3969/j.issn.1006-1959.2019.20.028]
　WANG Hai-xia.Effect of Spinal Anesthesia Combined with Epidural Anesthesia on the Anesthetic Effect of Cesarean Section[J].Medical Information,2019,(20):100-102.[doi:10.3969/j.issn.1006-1959.2019.20.028]
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腰麻联合硬膜外麻醉对剖宫产术麻醉效果的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期数:
2019年20期
页码:
100-102
栏目:
临床研究
出版日期:
2019-10-15

文章信息/Info

Title:
Effect of Spinal Anesthesia Combined with Epidural Anesthesia on the Anesthetic Effect of Cesarean Section
文章编号:
1006-1959（2019）20-0100-03
作者:
王海霞
（黑龙江省佳木斯市中心医院麻醉科，黑龙江 佳木斯 154002）
Author(s):
WANG Hai-xia
(Department of Anesthesiology,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China)
关键词:
腰麻; 硬膜外麻醉; 剖宫产术; 麻醉效果
Keywords:
Spinal anesthesia; Epidural anesthesia; Cesarean section; Anesthesia effect
分类号:
R719.8
DOI:
10.3969/j.issn.1006-1959.2019.20.028
文献标志码:
A
摘要:
目的 分析腰麻联合硬膜外麻醉对剖宫产术临床麻醉效果和并发症的影响。方法 收集2018年2月~2019年2月在我院行剖宫产术的110例产妇临床资料，采用随机数字表法分为对照组和观察组，各55例。对照组采用硬膜外麻醉，观察组在对照组基础上联合腰麻，比较两组临床麻醉效果、肌肉松弛效果、麻醉起效时间、术中出血量、麻药用量、疼痛评分以及不良反应。结果 观察组麻醉效果优于对照组，差异有统计学意义（P＜0.05）；观察组肌肉松弛效果为100.00%，优于对照组的83.63%，差异有统计学意义（P＜0.05）；观察组麻醉起效时间（3.31±0.89）min、术中出血量（130.51±24.70）ml、麻药用量（20.33±8.45）mg、疼痛评分（2.88±0.99）分，均低于对照组的（8.71±0.69）min、（158.88±22.81）ml、（43.27±1.13）mg、（5.02±0.78）分，差异有统计学意义（P＜0.05）；观察组不良反应发生率（9.09%）低于对照组（21.81%），差异有统计学意义（P＜0.05）。结论 腰麻联合硬膜外麻醉用于剖宫产手术，麻醉效果佳，肌肉松弛理想，麻醉起效快，镇痛效果良好，且并发症少，安全性高，临床应用效果理想。
Abstract:
Objective To analyze the effect of spinal anesthesia combined with epidural anesthesia on clinical anesthesia and complications of cesarean section.Methods The clinical data of 110 cases of cesarean section in our hospital from February 2018 to February 2019 were collected and divided into control group and observation group by random number table, 55 cases each. The control group was treated with epidural anesthesia. The observation group was combined with spinal anesthesia on the basis of the control group. The clinical anesthesia effect, muscle relaxation effect, onset time of anesthesia, intraoperative blood loss, anaesthesia, pain score and adverse reactions were compared between the two groups.Results The anesthetic effect of the observation group was better than that of the control group, and the difference was statistically significant (P<0.05). The muscle relaxation effect of the observation group was 100.00%, which was better than that of the control group 83.63%,the difference was statistically significant (P<0.05). The onset time of anesthesia (3.31±0.89) min, the intraoperative blood loss (130.51±24.70) ml, the hemp dose (20.33±8.45) mg, and the pain score (2.88±0.99) were lower than those of the control group (8.71±0.69) min, (158.88±22.81) ml, (43.27±1.13) mg, (5.02±0.78) points, the difference was statistically significant (P<0.05); the incidence of adverse reactions in the observation group (9.09%) was lower than that of the control group (21.81%), the difference was statistically significant (P<0.05).Conclusion Lumbar anesthesia combined with epidural anesthesia for cesarean section, good anesthesia effect, ideal muscle relaxation, rapid onset of anesthesia, good analgesic effect, less complications, high safety, and ideal clinical application.

参考文献/References:

[1]陈朝辉,李军祥,万勇.小剂量等比重腰麻联合硬膜外麻醉用于剖宫产的麻醉效果[J].四川医学,2014,35(7):788-789． [2]陈转侨,黄锡强,李斌飞,等.腰硬联合麻醉和连续硬膜外麻醉在瘢痕子宫剖宫产术中效果比较[J].解放军医药杂志,2015, 26(2):79-81 [3]张志刚.腰麻联合硬膜外麻醉与单纯硬膜外麻醉用于剖宫产术麻醉效果观察比较[J].临床合理用药杂志,2014,7(2):87-88. [4]李亮.腰麻联合硬膜外麻醉应用于剖宫产术的临床麻醉疗效观察[J].中国医药指南,2015(1):160. [5]何静,陶宁,李卫东,等.罗哌卡因腰麻联合硬膜外麻醉在剖宫产手术中的应用效果[J].现代生物医学进展,2014,14(24):4710-4713. [6]蒋蕤,张枝刚.腰硬联合麻醉与硬膜外麻醉在高原地区剖宫产手术中的临床疗效及安全性评价[J].中国临床药理学杂志,2016,1(4):315-317. [7]陈利新.腰硬联合麻醉和连续硬膜外阻滞麻醉用于瘢痕子宫剖宫产术的效果分析[J].实用临床医药杂志,2015,19(7):155-156.

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更新日期/Last Update: 2019-10-15