宋丽丽

    【摘要】 目的：分析剖宫产术麻醉引起术后并发症的危险因素，为临床治疗制订防治策略。方法：选取2019年2月-2020年8月在沈阳市红十字会医院妇产科行麻醉剖宫产的180例产妇纳入本研究，按麻醉后是否引起术后并发症分为并发症组(n=85)及非并发症组(n=95)。分析引起术后并发症的危险因素。结果：180例剖宫产麻醉患者中共有85例发生术后并发症，占比45.9%，其中低血压发生率最高，椎管内血肿发生率最低。单因素分析显示两组产妇妊娠是否合并高血压、是否合并糖尿病、是否合并心衰情况、麻醉方式、麻醉时间比较，差异均有统计学意义(P<0.05)。多因素logistics回归分析结果显示，硬膜外麻醉、妊娠合并高血压、妊娠合并糖尿病是剖宫产手术麻醉后出现并发症的危险因素(P<0.05)。结论：硬膜外麻醉、妊娠合并高血压、妊娠合并糖尿病为剖宫产手术麻醉引起术后并发症的危险因素。因此应对孕妇以上指标进行合理控制，其对临床预测麻醉后并发症的发生起到指导作用，应予以重视。

    【关键词】 剖宫产手术 椎管内麻醉 麻醉后并发症 危险因素

    [Abstract] Objective： To analyze the risk factors of postoperative complications caused by cesarean section anesthesia， and to develop prevention and treatment strategies for clinical treatment. Method： A total of 180 cases of puerpera who underwent cesarean section under anesthesia in the Department of Obstetrics and Gynecology of Shenyang Red Cross Hospital from February 2019 to August 2020 were included in this study， and they were divided into complication group (n=85) and non-complication group (n=95) according to whether postoperative complications occurred after anesthesia. The risk factors of postoperative complications were analyzed. Result： There were 85 postoperative complications in 180 patients undergoing cesarean section anesthesia ......