摘要
目的观察硬膜外麻醉与腰硬联合麻醉在剖宫产中的麻醉效果及对血流动力学的影响。方法选取2020年1月-2023年2月在我院行剖宫产的62例产妇为研究对象,采用随机数字表法分为对照组(n=31)和观察组(n=31)。对照组采用硬膜外麻醉,观察组采用腰硬联合麻醉,比较两组麻醉效果、麻醉起效时间、痛觉最高平面、不同时间段产妇血流动力学指标(血压、心率)、不同时间段疼痛(VAS)评分以及不良反应发生情况。结果观察组麻醉优良率为93.55%,高于对照组的80.65%(P<0.05);观察组麻醉起效时间、痛觉最高平面均短于对照组(P<0.05);两组切皮时产妇心率均高于麻醉前,舒张压、收缩压均低于麻醉前,但观察组心率低于对照组,舒张压、收缩压高于对照组(P<0.05);观察组术后6、12、24 h的VAS评分均小于对照组(P<0.05);观察组不良反应发生率为6.45%,低于对照组的19.35%(P<0.05)。结论与硬膜外麻醉比较,腰硬联合麻醉在剖宫产中的麻醉效果显著,麻醉起效快速,不仅对血流动力学影响小,而且可显著减轻术后不产妇疼痛度,且可降低麻醉不良反应,具有确切的临床应用优势。
Objective To observe the anesthetic effect of epidural anesthesia and combined spinal-epidural anesthesia in cesarean section and its influence on hemodynamics.Methods A total of 62 parturients who underwent cesarean section in our hospital from January 2020 to February 2023 were selected as the research objects.They were divided into control group(n=31)and observation group(n=31)by random number table method.The control group was treated with epidural anesthesia,and the observation group was treated with combined spinal-epidural anesthesia.The anesthetic effect,anesthesia onset time,highest pain level,maternal hemodynamic indexes(blood pressure,heart rate)at different time periods,pain(VAS)scores at different time periods and adverse reactions were compared between the two groups.Results The excellent and good rate of anesthesia in the observation group was 93.55%,which was higher than 80.65%in the control group(P<0.05).The onset time of anesthesia and the highest level of pain in the observation group were shorter than those in the control group(P<0.05).The heart rate of the two groups during skin incision was higher than that before anesthesia,and the diastolic blood pressure and systolic blood pressure were lower than those before anesthesia,but the heart rate of the observation group was lower than that of the control group,and the diastolic blood pressure and systolic blood pressure were higher than those of the control group(P<0.05).The VAS score of the observation group at 6,12 and 24 h after operation was lower than that of the control group(P<0.05).The incidence of adverse reactions in the observation group was 6.45%,which was lower than 19.35%in the control group(P<0.05).Conclusion Compared with epidural anesthesia,combined spinal-epidural anesthesia has a significant anesthetic effect in cesarean section,and the onset of anesthesia is rapid.Meanwhile,it not only has little effect on hemodynamics,but also can significantly reduce the postoperative pain of non-pregnant women,and can reduce the adverse reactions of anesthesia.It has significant clinical application advantages.
作者
王赢
李辉
WANG Ying;LI Hui(Department of Anesthesiology,Wanzai County People's Hospital,Wanzai 336100,Jiangxi,China)
出处
《医学信息》
2024年第17期77-80,共4页
Journal of Medical Information
关键词
硬膜外麻醉
腰硬联合麻醉
剖宫产
麻醉效果
血流动力学
Epidural anesthesia
Combined spinal-epidural anesthesia
Cesarean section
Anesthetic effect
Hemodynamics
作者简介
王赢(1989.9-),女,江西宜春人,本科,主治医师,主要从事麻醉学相关工作。
