CAJ | 학술논문

目的探讨腰硬联合麻醉在急诊剖宫产术应用中的效果.方法随机将74例急诊剖宫产分为两组，每组各37例，腰硬联合麻醉(CSEA)即为实验组；硬膜外麻醉(CEA)即为对照组；观察两组患者麻醉起效满足手术要求的时间、注射局麻药至胎儿娩出时间、麻醉效果、新生儿Apgar评分、低血压、不良反应的发生率.结果实验组术中血压下降程度与对照组相比较无显著性差异；新生儿Apgar评分、不良反应恶心、呕吐发生率无明显差异(P>0.05).结论腰硬联合麻醉具有起效迅速、镇痛肌松好，短时间内即可达到完善的麻醉效果，为手术快速娩出胎儿赢得了时间，值得在临床上推广使用.
목적탐토요경연합마취재급진부궁산술응용중적효과.방법수궤장74례급진부궁산분위량조，매조각37례，요경연합마취(CSEA)즉위실험조；경막외마취(CEA)즉위대조조；관찰량조환자마취기효만족수술요구적시간、주사국마약지태인면출시간、마취효과、신생인Apgar평분、저혈압、불량반응적발생솔.결과실험조술중혈압하강정도여대조조상비교무현저성차이；신생인Apgar평분、불량반응악심、구토발생솔무명현차이(P>0.05).결론요경연합마취구유기효신속、진통기송호，단시간내즉가체도완선적마취효과，위수술쾌속면출태인영득료시간，치득재림상상추엄사용.
Objective Explore the effect of lumbar epidural anesthesia in emergency cesarean section applications. Methods 74 patients underwent emergency cesarean section randomly divided into two groups, 37 cases in each group, the combined spinal-epidural anesthesia (CSEA) shall be the experimental group;Results Drop in blood pressure in the experimental group was compared with the control group compared with no significant difference (P>0.05); Apgar score, Conclusion Onset of spinal and epidural anesthesia has rapidly analgesic muscle relaxants, and improve the anesthetic effect can be achieved within a short period of time, obstetric emergency cesarean section surgery ideal anesthetic method worth into promote the use of clinical.