硬-腰联合麻醉用于新式剖宫产术中的观察-东南大学学报医学版

硬-腰联合麻醉用于新式剖宫产术中的观察

单位：无锡市妇幼保健院,麻醉科,江苏无锡,214002

分类号：R614.4

出版年·卷·期（页码）：2003·22·第六期（396-398）

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2089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<0.05),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<0.05).结论:CSEA用于新式剖宫产术起效快、阻滞完善,但要防范低血压的发生.

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.

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