本文選題：剖宮產(chǎn)術(shù) + 腰麻��； 參考：《當(dāng)代醫(yī)藥論叢》2016年07期

【摘要】：目的 :探討對(duì)行剖宮產(chǎn)手術(shù)的產(chǎn)婦進(jìn)行腰麻聯(lián)合硬膜外麻醉的效果。方法 :選取近期在我院進(jìn)行剖宮產(chǎn)手術(shù)的83例產(chǎn)婦作為研究對(duì)象。隨機(jī)將這些產(chǎn)婦分為聯(lián)合組和單一組,聯(lián)合組中有42例產(chǎn)婦,單一組中有41例產(chǎn)婦。對(duì)聯(lián)合組產(chǎn)婦在手術(shù)時(shí)進(jìn)行腰麻聯(lián)合硬膜外麻醉,對(duì)單一組產(chǎn)婦在手術(shù)時(shí)進(jìn)行硬膜外麻醉。然后比較兩組產(chǎn)婦的術(shù)中出血量、麻醉起效的時(shí)間、感覺(jué)神經(jīng)阻滯的程度、Bromage評(píng)分、麻醉藥物使用的劑量、不良反應(yīng)的發(fā)生情況及其娩出新生兒的Apgar評(píng)分。結(jié)果 :經(jīng)過(guò)麻醉后,聯(lián)合組產(chǎn)婦在術(shù)中的出血量、麻醉起效的時(shí)間、感覺(jué)神經(jīng)阻滯的程度、Bromage評(píng)分、麻醉藥物使用的劑量及不良反應(yīng)的發(fā)生率均明顯優(yōu)于單一組產(chǎn)婦,差異顯著,具有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組產(chǎn)婦娩出新生兒的Apgar評(píng)分相比無(wú)顯著性差異,無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論:對(duì)行剖宮產(chǎn)手術(shù)的產(chǎn)婦進(jìn)行腰麻聯(lián)合硬膜外麻醉可以快速達(dá)到良好的麻醉、鎮(zhèn)痛效果,對(duì)母嬰造成的負(fù)面影響較小,產(chǎn)婦不易發(fā)生不良反應(yīng)。
[Abstract]:Objective: to investigate the effect of spinal anesthesia combined with epidural anesthesia on parturient undergoing cesarean section. Methods: 83 cases of cesarean section in our hospital were selected. These puerperas were randomly divided into two groups: the combined group (42 cases) and the single group (41 cases). Spinal anesthesia combined with epidural anesthesia was performed in the combined group, and epidural anesthesia was performed in the single group. Then, the amount of intraoperative bleeding, the time of onset of anesthesia, the degree of sensory nerve block, the dose of anesthetic drugs, the occurrence of adverse reactions and the Apgar score of newborn were compared between the two groups. Results: after anesthesia, the amount of blood loss, the time of onset of anesthesia, the degree of sensory nerve block, the dose of anesthetic and the incidence of adverse reactions in the combined group were significantly better than those in the single group. The difference was significant (P 0.05). There was no significant difference in Apgar score between the two groups. Conclusion: Spinal anesthesia combined with epidural anesthesia for parturient undergoing caesarean section can quickly achieve good anaesthesia, analgesic effect, the negative effect on mother and child is small, and adverse reactions are not easy to occur in parturient.
【作者單位】： 臨滄市臨翔區(qū)婦幼保健院;
【分類(lèi)號(hào)】：R614

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