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钢丝加强型聚脲胺酯硬膜外导管对剖宫产术患者硬膜外置管术成功几率的影响 被引量:6

Effect of wire-reinforced polyurethane epidural catheters on success rate of epidural catheterization in patients undergoing caesarean section
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摘要 目的 评价钢丝加强型聚脲胺酯硬膜外导管对剖宫产术患者硬膜外置管术成功几率的影响。方法 择期拟行脊椎-硬膜外联合阻滞的剖宫产术患者182例,年龄25~43岁,身高145~178 cm,体重51~100 kg,ASA分级Ⅰ或Ⅱ级,采用随机数字表法分为2组:聚氯乙烯硬膜外导管组(Ⅰ组,n=94)和钢丝加强型聚脲胺酯硬膜外导管组(Ⅱ组,n=88)。于L2,3或L3,4间隙行脊椎-硬膜外穿刺,穿刺成功后各组置入相应的硬膜外导管。发生置管困难、导管误入血管和穿刺或置管时异感均为硬膜外置管术失败。记录硬膜外置管术失败的发生情况。结果 Ⅰ组比较,Ⅱ组硬膜外置管术失败率降低(P〈0.05)。结论 钢丝加强型聚脲胺酯硬膜外导管可提高剖宫产术患者硬膜外置管术的成功几率。 Objective To evaluate the effect of wire-reinforced polyurethane epidural catheters on the success rate of epidural catheterization in the patients undergoing caesarean section.Methods A total of 182 pregnant patients, aged 25-43 yr, with body height of 145-178 cm, weighing 51-100 kg, of American Society of Anesthesiologists physical status Ⅰor Ⅱ, scheduled for elective caesarean section under combined spinal-epidural anesthesia, were divided into 2 groups using a random number table: polyvinyl chloride epidural catheter group(group Ⅰ, n=94)and wire-reinforced polyurethane epidural catheter group(group Ⅱ, n=88). Spinal or epidural puncture was performed at L2, 3 or L3, 4 interspace, and the corresponding epidural catheter was inserted in each group after successful puncture.The development of difficult insertion, intravascular catheter insertion or paresthesia during puncture or insertion was defined as a failure of epidural catheterization.The occurrence of failed epidural catheterization was recorded.Results The failure rate of epidural catheterization was significantly lower in group Ⅱ than in group Ⅰ(P〈0.05).Conclusion Wire-reinforced polyurethane epidural catheters can raise the success rate of epidural catheterization in the patients undergoing caesarean section.
出处 《中华麻醉学杂志》 CSCD 北大核心 2017年第5期594-596,共3页 Chinese Journal of Anesthesiology
关键词 导管插入术 硬膜外腔 剖宫产小 Catheterization Epidural Space Cesarean section
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  • 1蔡平.硬膜外麻醉穿刺置管刺入蛛网膜下腔致全脊麻1例[J].中国误诊学杂志,2004,4(10):1758-1758. 被引量:3
  • 2Litz RJ,Hubler M,Koch T,et al.Spinal-epidural hematoma following epidural anesthesia in the presence of antiplatelet and heparintherapy.Anesthesiology,2001,95(4):1031-1033. 被引量:1
  • 3Martinez-Palli G,Sala-Blanch X,Salvado E,et al.Epidural hematoma after epidural anesthesia in a patient with peripheral vasculardisease.Case report.Reg-Anesth,1996,21(4):342-346. 被引量:1
  • 4Wulf H.Epidural anaethesia and spinal haematoma.Can J Anaesth,1996,43(12):1260-1271. 被引量:1
  • 5Tryba M.Epidural regional anaesthesia and low molecular heparin.Anasthesiol Intensiv med Notfalmed sehmerzther,1993,28(3):179-181. 被引量:1
  • 6Ruppen W,Deny S,MeQuay H,et al.Incidence of epidural hematoma,infection,and neurologic injury in obstetric patients with epidural analgesia/anesthesia.Anesthesiology,2006,105(2):394-399. 被引量:1
  • 7刘树合 凤旭东 姐志勇等.硬膜外麻醉侧卧位注药发生全脊麻一例[J].中华麻醉学杂志,2001,21(3):139-139. 被引量:2
  • 8Banwell BR,Morley-Forster P,Krause R. Decreased incidence of complications in parturients with the arrow (FlexTip Plus) epidural catheter[J].Canadian Journal of anaesthesia-Journal canadien d anesthesie,1998,(04):370-372. 被引量:1
  • 9Kuroda K, Miyoshi H, Kato T, et al. Factors related to acci- dental dural puncture in epidural anesthesia patients[ J]. J Clin Anesth, 2015,8 ( 7 ) : 665-667re-. 被引量:1
  • 10Collier C. Epidural catheter breakage: a possible mechanism [J]. IntJObstet Anesth,2000,9(2):87-93. 被引量:1

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