CAJ | 학술논문

目的：探讨不同麻醉方式（腰硬联合麻醉和持续硬膜外麻醉）用于二次剖宫产术的临床效果，为临床推广做出指导。方法选择93例自2010年4月~2013年4月在我院择期行二次剖宫产手术的产妇为研究对象，将其完全随机分为两组，对照组给予持续硬膜外麻醉，观察组则给予腰硬联合麻醉，对比观察两组产妇的麻醉效果。结果（1）除新生儿Apgar评分外，观察组产妇的各项指标均优于对照组，差异具有统计学意义（P＜0.05）；（2）观察组手术医生对麻醉的满意度为100.00%，明显高于对照组为71.35%，差异具有统计学意义（P＜0.05）；（3）观察组产妇的不良反应发生率为12.24%，对照组产妇的不良反应发生率为11.36%，差异无统计学意义（P＞0.05）。结论腰硬联合麻醉用于二次剖宫产术的临床效果显著，其麻醉效果好且不良反应小，值得临床广泛推广。
목적：탐토불동마취방식（요경연합마취화지속경막외마취）용우이차부궁산술적림상효과，위림상추엄주출지도。방법선택93례자2010년4월~2013년4월재아원택기행이차부궁산수술적산부위연구대상，장기완전수궤분위량조，대조조급여지속경막외마취，관찰조칙급여요경연합마취，대비관찰량조산부적마취효과。결과（1）제신생인Apgar평분외，관찰조산부적각항지표균우우대조조，차이구유통계학의의（P＜0.05）；（2）관찰조수술의생대마취적만의도위100.00%，명현고우대조조위71.35%，차이구유통계학의의（P＜0.05）；（3）관찰조산부적불량반응발생솔위12.24%，대조조산부적불량반응발생솔위11.36%，차이무통계학의의（P＞0.05）。결론요경연합마취용우이차부궁산술적림상효과현저，기마취효과호차불량반응소，치득림상엄범추엄。
Objective To investigate clinical effects of combined spinal-epidural anesthesia and continuous epidural anesthesia in the use of the second cesarean section,which made guidance for clinical application. Methods Selected 93 cases puerpera admitted to our hospital from April 2010 to April 2013 were divided into control group (given continuous epidural anesthesia) and observation group (given combined spinal-epidural anesthesia),the anesthetic effect of two groups were compared. Results (1)In addition to Apgar score,the various indicators of observation group were better than that of control group,the difference was statistically significant(P < 0.05);(2)The anesthesia satisfaction of observation group(100.00%)was higher than that of control group(71.35%),the difference was statistically significant(P<0.05);(3)The incidence of adverse reactions of two groupes(12.24%;11.36%) had no statistically significant(P>0.05). Conclusion Combined spinal-epidural anesthesia has a significant effect in the use of the second cesarean section,which is worthy of clinical widely.