摘要
目的在剖宫产手术中采用腰麻与硬膜外麻醉,观察其术后镇痛的临床效果。方法将本院行剖宫产手术的140例患者,随机分成腰麻组与硬膜外麻组,每组70例。观察两组HR和MAP在T0、T1、T2、T3时的变化情况;比较两组麻醉起效时间、麻醉完全时间、新生儿娩出1min和5min的Apgar评分以及术后并发症的发生情况等。结果两组HR和MAP值在各时点变化及Apgar评分方面均差异无统计学意义(P>0.05);但腰麻组在麻醉起效时间、疼痛完全消失时间及VAS综合评分方面显著优于硬膜外麻组(均P<0.05),差异有统计学意义。结论腰麻在剖宫产患者术后的镇痛效果好,并发症少,值得临床推广应用。
Objective To observe the clinical effects of spinal anaesthesia and epidural anaesthesia in analgesia after cesarean delivery. Methods One hundred and forty cases were randomly divided into 70 cases of spinal group and 70 cases of epidural group. MAP and HR were recorded at T0, T1, T2, T3; Compared the onset time and completely time of anesthesia, Apgar score of the neonate at 1 min and 5 min after birth and the postoperative complications with each other. Results MAP, HR and Apgar score were not significant difference （P0.05）; But the onset time and completely time of anesthesia in spinal group were significant less than the other group （P0.05）. Conclusion Spinal anaesthesia has a better efficacy in analgesia after cesarean delivery, which is suitable for clinical application.
出处
《中国当代医药》
2012年第10期97-98,共2页
China Modern Medicine
关键词
剖宫产
麻醉
镇痛
效果
Cesarean delivery
Anaesthesia
Analgesia
Effect
