摘要
目的探讨不同麻醉方式对重度妊高征合并心力衰竭患者母婴结局的影响。方法选取2010年5月～2012年5月收治的重度妊高征合并心力衰竭患者120例，随机分为3组，第1组采用腰一硬联合麻醉，第2组采用连续硬膜外麻醉，第3组采用气管插管全身麻醉，对3组患者麻醉结果进行比较。结果患者行麻醉后，第1组麻醉起效快，且阻滞效果均优于第2、3组，差异显著（t=30．1514，P〈0．01；t=5．9205，P〈0．01；t=2．3538，P〈0．05；t=2．1805，P〈0．05）；第2组和第3组平均动脉压及低血压发生率均优于第1组，组间差异显著（t=5．1119，P〈0．01；t=6．6426，P〈0．01；χ2=4．5283，P〈0．05；χ2=8．5714，P〈0．01）；第1组早产儿率（7．50％）、新生儿窒息率（5．00％）、围生儿死亡率（2．50％）及胎盘早剥率（12．50％）均高于其余两组（15．00％、12．50％、7．50％、22．50％，12．50％、17．50％、10．00％、17．50％），但差异无统计学意义（P〉0．05）。结论重度妊高征合并心力衰竭患者采用腰一硬联合麻醉行剖宫产并发症少，效果较好，且安全有效，具有较高的临床应用价值。
Objective To investigate the effect of different anesthesia methods on heart failure patients with severe PIH. Methods 120 patients with heart failure with severe PIH were randomly divided into three groups. The first group was treated with spinal - epidural anesthesia, the second group with continuous hard anesthesia outside of the membrane, and the third group with general anesthesia. Anesthesia for three groups of patients was compared. Results The onset of the first group and the block was better than that of the second and third groups （P〈0. 05）. The mean arterial pressure, and hypotension incidence rate of second group and third group were more than that of the first group（P〈0.05）. Conclu- sion Patients with heart failure and severe PIH using spinal - epidural anesthesia for cesarean section anesthesia has fe- wer complications and effect.
出处
《西部医学》
2014年第3期350-351,358,共3页
Medical Journal of West China
关键词
妊高征
心力衰竭
麻醉
Preeelampsia
Heart failure
Anesthesia
