【摘要】：目的 :探討對行剖宮產(chǎn)手術(shù)的重度子癇前期產(chǎn)婦進行腰硬聯(lián)合麻醉的可行性與安全性。方法 :選取近期我院收治的50例重度子癇前期產(chǎn)婦和50例健康產(chǎn)婦作為研究對象。所有產(chǎn)婦均使用剖宮產(chǎn)手術(shù)進行治療,且手術(shù)時均進行腰硬聯(lián)合麻醉。將50例重度子癇前期產(chǎn)婦作為子癇組,將50例健康產(chǎn)婦作為健康組。然后比較兩組產(chǎn)婦麻醉前后的心率、血壓、血氧飽和度及麻醉不良反應(yīng)的發(fā)生情況。結(jié)果 :麻醉后,兩組產(chǎn)婦的心率、收縮壓、舒張壓及血氧飽和度均明顯下降,與麻醉前相比,差異具有統(tǒng)計學(xué)意義(P0.05);兩組產(chǎn)婦的心率、收縮壓、舒張壓、血氧飽和度及麻醉不良反應(yīng)的發(fā)生率相比,差異無統(tǒng)計學(xué)意義(P0.05)。結(jié)論:對行剖宮產(chǎn)手術(shù)的重度子癇前期產(chǎn)婦實行腰硬聯(lián)合麻醉具有可行性,且安全性較高。需要注意的是,臨床醫(yī)生應(yīng)嚴(yán)格把握麻醉藥物的使用劑量,并密切監(jiān)測產(chǎn)婦的生命指標(biāo),以確保其安全。
[Abstract]:Objective: to investigate the feasibility and safety of combined spinal-epidural anesthesia for severe preeclampsia during cesarean section. Methods: 50 cases of severe preeclampsia and 50 cases of healthy women were selected. All parturients were treated by cesarean section and combined spinal-epidural anesthesia. 50 cases of severe preeclampsia were treated as eclampsia group and 50 healthy women as healthy group. Heart rate, blood pressure, blood oxygen saturation and adverse reaction of anesthesia were compared before and after anesthesia. Results: after anesthesia, the heart rate, systolic blood pressure, diastolic blood pressure and blood oxygen saturation of the two groups were significantly decreased compared with those before anesthesia (P0.05), the heart rate, systolic blood pressure, diastolic blood pressure of the two groups were significantly lower than those before anesthesia (P0.05). There was no significant difference in the incidence of blood oxygen saturation and adverse reaction of anesthesia (P0.05). Conclusion: combined spinal-epidural anesthesia for severe preeclampsia during cesarean section is feasible and safe. It should be noted that clinicians should strictly control the dosage of narcotic drugs and closely monitor maternal life indicators to ensure their safety.
【作者單位】： 河南省許昌市鄢陵縣人民醫(yī)院麻醉科;
【分類號】：R614

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