摘要
目的:探讨利多卡因星状神经节阻滞(SGB)在剖宫产手术中的麻醉应用效果。方法:选择2020年7月-2022年7月本院104例行择期剖宫产产妇,随机数表法分为对照组与观察组各52例,对照组行L3~4腰-硬联合麻醉,观察组给予1%利多卡因5ml在超声引导下左侧SGB后,行L3~4腰-硬联合麻醉。对比两组术中血压、心率变化情况,应激反应及术后恢复情况及不良反应。结果:术中两组血压、心率变化无差异;观察组术后首次排气时间(1.1±0.4d)短于对照组(1.9±0.5d),术后明显疼痛率(19.2%)低于对照组(38.5%),应激指标血浆皮质醇、白细胞介素-6和肿瘤坏死因子-α和不良反应(15.4%)均低于对照组(21.2%)(均P<0.05)。结论:超声引导下SGB在剖宫产术中应用对产妇循环稳定无明显影响,但能降低产妇术后应激反应和不良反应并加速术后康复。
Objective:To study the application anesthetic effect of lidocaine stellate ganglion block(SGB)in cesarean section.Methods:104 pregnant women who wanted elective cesarean section were selected and were divided into two groups(52 cases in each group)by random number table method from July 2020 to July 2022.During cesarean section,the women in the control group were given L3-4 combined lumbar-hard anesthesia,while the women in the observation group were given 1%lidocaine 5 ml for left-sided SGB by ultrasound-guided and then were given L3-4 combined lumbar-hard anesthesia.The changes of intraoperative blood pressure and heart rate,the stress reaction,the postoperative recovery,and the adverse reactions of the women were compared between the two groups.Results:There were no significant differences in the blood pressure and heart rate of the women between the two groups.The first postoperative exhaust time(1.1±0.4d)of the women in the observation group was significantly shorter than that(1.9±0.5d)of the women in the control group,and the postoperative obvious pain rate(19.2%)of the women in the observation group was significantly lower than that(38.5%)of the women in the control group.The levels of stress index plasma cortisol,interleukin-6,and tumor necrosis factor-αof the women in the observation group were significantly lower than those of the women in the control group.The adverse reactions rate(15.4%)of the women in the observation group was significantly lower than that(21.2%)of the women in the control group(all P<0.05).Conclusion:Ultrasound-guided SGB used during cesarean section of the women has no significant influence on their circulatory stability,while which can significantly reduce their stress reaction and adverse reactions,and can accelerates their postoperative recovery.
作者
史新华
倪俊
SHI Xinhua;NI Jun(Nanjing Gaochun People's Hospital,Nanjing,Jiangsu Province,211300)
出处
《中国计划生育学杂志》
2023年第11期2641-2645,共5页
Chinese Journal of Family Planning
关键词
剖宫产术
超声引导
星状神经节阻滞
利多卡因
应激
康复
Cesarean section
Ultrasound-guided
Stellate ganglion block
Lidocaine
Stress
Rehabilitation
