摘要
目的:比较硬-腰联合麻醉(CSEA)与硬膜外阻滞麻醉(EA)在剖宫产术中应用的效果。方法:健康足月妊娠孕妇120例,年龄23～37岁,随机分为CSEA组(60例)和EA组(60例),比较两种麻醉方法的麻醉效果。结果:CSEA组镇痛效果、肌肉松弛满意率均优于EA组,阻滞平面达T_6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),新生儿1 min的Apgar评分两组间无差异,但低血压发生率高于EA组(P<0.05)。结论:CSEA用于剖宫产术起效快、阻滞完善,但要防治低血压的发生。
Objective： To compare the effect of combined spinal epidural anesthesia （CSEA） with that of epidural anesthesia （EA） in cesarean section. Method： One hundred and twenty healthy mature pregnant women were randomly assigned to CSEA group （n=60） and EA group （n =60 ）, 23-37 years old, to compare the effect of combined spinal epidural anesthesia （CSEA） with that of epidural anesthesia （EA）. 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）. There was no difference at neonate 1 minute Apgar score between two groups. Conclusion： The effect of CSEA in cesarean section is better than that of EA, but hypotension should be prevented in CSEA.
出处
《新疆医科大学学报》
CAS
2009年第9期1321-1322,共2页
Journal of Xinjiang Medical University
关键词
硬-腰联合麻醉
硬膜外麻醉
剖宫产术
combined spinal epidural anesthesia
epidural anesthesia
cesarean section
