摘要
目的对瘢痕子宫剖宫产术中应用腰硬联合麻醉(CSEA)及连续硬膜外麻醉(CEA)的效果进行比较。方法选择2013年1月—2014年7月拟行剖宫产手术的瘢痕子宫产妇80例,按麻醉方法分为CSEA组和CEA组,每组40例。观察两组麻醉效果、新生儿情况及不良反应。结果 CSEA组感觉、运动阻滞起效时间、维持时间及恢复时间均短于CEA组(P<0.05)。两组手术时间及新生儿Apgar评分、不良反应发生率比较差异无统计学意义(P>0.05)。结论 CSEA对瘢痕子宫剖宫产的麻醉效果较好,且对手术无明显影响。
Objective To compare the effects of combined spinal epidural anesthesia（ CSEA） and continuous epidural anesthesia（ CEA） in application of cesarean section of scarred uteruses. Methods A total of 80 pregnant women with scarred uteruses,who would undergo cesarean section during January 2013 and July 2014,were divided into CSEA group（ n = 40） and CEA group（ n = 40） according to anaesthetic methods. The anaesthetic effect,neonatal conditions and incidence rates of adverse reactions in the two groups were observed. Results The onset time,blocking duration and recovery time of sensory and kinetic blocking in CSEA group were shorter than those in the CEA group（ P〈0. 05）. There were no significant differences in operation time,neonatal Apgar score and incidence rates of adverse reactions in the two groups（ P〉0. 05）. Conclusion CSEA anesthesia in application of cesarean section of scarred uteruses may achieve better anesthetic effect without significant effect on the operation.
出处
《解放军医药杂志》
CAS
2015年第2期79-81,共3页
Medical & Pharmaceutical Journal of Chinese People’s Liberation Army
关键词
腰硬联合麻醉
麻醉
硬膜外
瘢痕子宫
剖宫产术
Combined spinal epidural anesthesia
Anesthesia
epidural
Scarred uterus
Cesarean section
