摘要
目的:研究妊娠期高血压剖宫产产妇采取腰麻-硬膜外联合阻滞麻醉的效果观察及不良反应分析。方法:回顾性分析2016年1月-2019年1月笔者所在医院妇产科收治的妊娠期高血压剖宫产产妇住院患者102例,按照麻醉方式将其分为对照组(n=53)与观察组(n=49)。对照组采用硬膜外阻滞麻醉,观察组采用腰麻-硬膜外联合阻滞麻醉。比较两组患者麻醉指标、麻醉效果及不良反应发生情况。结果:观察组产妇麻醉时间、达到最佳麻醉平面时间、麻醉起效至胎儿娩出时间、感觉阻滞恢复时间均优于对照组,差异有统计学意义(P<0.05)。观察组产妇麻醉1级效率为85.71%,明显高于对照组的1级麻醉效率47.17%,差异有统计学意义(P<0.05)。观察组麻醉不良反应率为10.20%,明显低于对照组的28.30%,差异有统计学意义(P<0.05)。结论:妊娠期高血压剖宫产产妇采取腰麻-硬膜外联合阻滞麻醉的效果佳,且应用安全性高,从而确保产妇生命安全及婴儿健康,具有较高的应用价值。
Objective: To investigate the effect of spinal anesthesia combined with epidural anesthesia and the analysis of adverse reactions in cesarean section women with gestational hypertension. Method: A retrospective analysis was made on 102 cases of cesarean section women with gestational hypertension admitted in the department of gynecology and obstetrics in our hospital from January 2016 to January 2019. They were divided into the control group (n=53) and the observation group (n=49) according to the anesthesia method. The control group was anesthetized with epidural anesthesia, while the observation group was anesthetized with spinal anesthesia combined with epidural anesthesia. The anesthesia index, anesthesia effect and adverse reactions were compared between the two groups. Result: The time of anesthesia, the time to reach the optimal anesthesia plane, the time from anesthesia onset to fetal delivery, and the recovery time of sensory block in the observation group were better than those in the control group, and the differences were statistically significant (P<0.05). The efficiency of grade 1 anesthesia in the observation group was 85.71%, which was significantly higher than 47.17% in the control group, the difference was statistically significant (P<0.05). The adverse reaction rate of anesthesia of the observation group was 10.20%, which was significantly lower than 28.30% of the control group, the difference was statistically significant (P<0.05). Conclusion: The effect of spinal anesthesia combined with epidural anesthesia in cesarean section with gestational hypertension is good, and the application safety is high, so as to ensure the life safety of maternal and the health of infants, which has a higher application value.
作者
张亮
ZHANG Liang(Qichun People’s Hospital, Qichun 435300, China)
出处
《中外医学研究》
2019年第28期160-161,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
妊娠期高血压
剖宫产
产妇
腰麻-硬膜外麻醉
硬膜外阻滞麻醉
效果
不良反应
Gestational hypertension
Caesarean section
Maternal
Spinal anesthesia combined with epidural anesthesia
Epidural anesthesia
Effect
Adverse reactions
