[1]王海霞.腰麻聯合硬膜外麻醉對剖宮產術麻醉效果的影響[J].醫學信息,2019,(20):100-102.[doi:10.3969/j.issn.1006-1959.2019.20.028]
 WANG Hai-xia.Effect of Spinal Anesthesia Combined with Epidural Anesthesia on the Anesthetic Effect of Cesarean Section[J].Medical Information,2019,(20):100-102.[doi:10.3969/j.issn.1006-1959.2019.20.028]
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腰麻聯合硬膜外麻醉對剖宮產術麻醉效果的影響()
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醫學信息[ISSN:1006-1959/CN:61-1278/R]

卷:
期數:
2019年20期
頁碼:
100-102
欄目:
臨床研究
出版日期:
2019-10-15

文章信息/Info

Title:
Effect of Spinal Anesthesia Combined with Epidural Anesthesia on the Anesthetic Effect of Cesarean Section
文章編號:
1006-1959(2019)20-0100-03
作者:
王海霞
(黑龍江省佳木斯市中心醫院麻醉科,黑龍江 佳木斯 154002)
Author(s):
WANG Hai-xia
(Department of Anesthesiology,Jiamusi Central Hospital,Jiamusi 154002,Heilongjiang,China)
關鍵詞:
腰麻硬膜外麻醉剖宮產術麻醉效果
Keywords:
Spinal anesthesiaEpidural anesthesiaCesarean sectionAnesthesia effect
分類號:
R719.8
DOI:
10.3969/j.issn.1006-1959.2019.20.028
文獻標志碼:
A
摘要:
目的 分析腰麻聯合硬膜外麻醉對剖宮產術臨床麻醉效果和并發癥的影響。方法 收集2018年2月~2019年2月在我院行剖宮產術的110例產婦臨床資料,采用隨機數字表法分為對照組和觀察組,各55例。對照組采用硬膜外麻醉,觀察組在對照組基礎上聯合腰麻,比較兩組臨床麻醉效果、肌肉松弛效果、麻醉起效時間、術中出血量、麻藥用量、疼痛評分以及不良反應。結果 觀察組麻醉效果優于對照組,差異有統計學意義(P<0.05);觀察組肌肉松弛效果為100.00%,優于對照組的83.63%,差異有統計學意義(P<0.05);觀察組麻醉起效時間(3.31±0.89)min、術中出血量(130.51±24.70)ml、麻藥用量(20.33±8.45)mg、疼痛評分(2.88±0.99)分,均低于對照組的(8.71±0.69)min、(158.88±22.81)ml、(43.27±1.13)mg、(5.02±0.78)分,差異有統計學意義(P<0.05);觀察組不良反應發生率(9.09%)低于對照組(21.81%),差異有統計學意義(P<0.05)。結論 腰麻聯合硬膜外麻醉用于剖宮產手術,麻醉效果佳,肌肉松弛理想,麻醉起效快,鎮痛效果良好,且并發癥少,安全性高,臨床應用效果理想。
Abstract:
Objective To analyze the effect of spinal anesthesia combined with epidural anesthesia on clinical anesthesia and complications of cesarean section.Methods The clinical data of 110 cases of cesarean section in our hospital from February 2018 to February 2019 were collected and divided into control group and observation group by random number table, 55 cases each. The control group was treated with epidural anesthesia. The observation group was combined with spinal anesthesia on the basis of the control group. The clinical anesthesia effect, muscle relaxation effect, onset time of anesthesia, intraoperative blood loss, anaesthesia, pain score and adverse reactions were compared between the two groups.Results The anesthetic effect of the observation group was better than that of the control group, and the difference was statistically significant (P<0.05). The muscle relaxation effect of the observation group was 100.00%, which was better than that of the control group 83.63%,the difference was statistically significant (P<0.05). The onset time of anesthesia (3.31±0.89) min, the intraoperative blood loss (130.51±24.70) ml, the hemp dose (20.33±8.45) mg, and the pain score (2.88±0.99) were lower than those of the control group (8.71±0.69) min, (158.88±22.81) ml, (43.27±1.13) mg, (5.02±0.78) points, the difference was statistically significant (P<0.05); the incidence of adverse reactions in the observation group (9.09%) was lower than that of the control group (21.81%), the difference was statistically significant (P<0.05).Conclusion Lumbar anesthesia combined with epidural anesthesia for cesarean section, good anesthesia effect, ideal muscle relaxation, rapid onset of anesthesia, good analgesic effect, less complications, high safety, and ideal clinical application.

參考文獻/References:

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更新日期/Last Update: 2019-10-15
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