两种麻醉方法在剖宫产手术中的效果比较
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[摘要] 目的:探讨腰-硬联合麻醉(CSEA)应用于剖宫产术中的临床效果与安全性。方法:对72例需行剖宫产术产妇分别实行CSEA和硬膜外麻醉(EA),监测并记录血压、心率和不良反应。结果:两组产妇的血压均有所降低,治疗组收缩压、舒张压均明显下降(P<0.05);对照组在手术牵拉时心率减慢较明显,与术前及对照组比较,有显著性差异(P<0.05)。两组均无明显不良反应。结论:CSEA综合了脊麻以及硬膜外阻滞的优点,对剖宫产者做好术前准备,完善术中各项监测和麻醉处理,CSEA麻醉是安全、平稳、可行的。
[关键词] 腰-硬联合麻醉;剖宫产;硬膜外麻醉
[中图分类号] R719.8[文献标识码]A [文章编号]1673-7210(2010)03(b)-027-02
Effect of two kinds of anesthesia in cesarean section surgery
LIU Tianbin
(Wangniudun Hospital of Dongguan City, Dongguan 523200, China)
[Abstract] Objective: To investigate the clinical effects and safety of the combined spinal-epidural anesthesia (CSEA) in cesarean section. Methods: 72 cases of delivery women with cesarean section were introduced to use CSEA and epidural anesthesia (EA). And to monitor and record blood pressure, heart rate and adverse reactions. Results: The two groups of patients had lower blood pressure, treatment group with systolic blood pressure, diastolic blood pressure decreased significantly (P<0.05), the heart rate of control group was lower during surgery traction, there was a significant difference compared with the control group (P<0 ......
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