世界最新医学信息文摘(电子版)
世界最新醫學信息文摘(電子版)
세계최신의학신식문적(전자판)
World Latest Medicine Information
2013年
5期
43-44
,共2页
苏国友%包长顺%包文奎%宋伟奇%许永慧%吴非%宏杰%王新%包文朝%李国良
囌國友%包長順%包文奎%宋偉奇%許永慧%吳非%宏傑%王新%包文朝%李國良
소국우%포장순%포문규%송위기%허영혜%오비%굉걸%왕신%포문조%리국량
硬膜外麻醉%腰-硬联合麻醉%古典式剖宫产术%对比观察
硬膜外痳醉%腰-硬聯閤痳醉%古典式剖宮產術%對比觀察
경막외마취%요-경연합마취%고전식부궁산술%대비관찰
Epidural anesthesia%Combined spinal-epidural anesthesia%Classical-like Caesarean%birth technique%Contrast observation
目的探讨不同麻醉方法在古典式剖腹产术中对母体、胎儿麻醉效果的影响,为古典式剖宫产术式采取何种麻醉方法更为优越提供理论依据。方法选择古典式剖宫产术式120例,其中60例采用硬膜外麻醉(EPS),60例采用腰-硬联合麻醉(CESA),对比观察两种麻醉方法在古典式剖宫产术式中对母体、胎儿及麻醉效果的影响。结果麻醉效果差者CESA组明显少于EPS组,组间比较差异具有统计学意义(P <0.01),CESA组的麻醉时间,取胎时间,手术时间均短于EPS组,组间比较差异具有统计学意义(P <0.01),术中产妇、胎儿情况两组均无显著性差异,无统计学意义(P >0.05)。结论腰-硬联合麻醉与单纯实施硬膜外麻醉相比在古典式剖宫产术中的应用对比观察得出,腰-硬联合麻醉在古典式剖宫术式中的应用,能够明显改善手术医生的操作条件,而且能够提高产妇及其家属的满意率,是临床上值得大力推广的一种麻醉方法。
目的探討不同痳醉方法在古典式剖腹產術中對母體、胎兒痳醉效果的影響,為古典式剖宮產術式採取何種痳醉方法更為優越提供理論依據。方法選擇古典式剖宮產術式120例,其中60例採用硬膜外痳醉(EPS),60例採用腰-硬聯閤痳醉(CESA),對比觀察兩種痳醉方法在古典式剖宮產術式中對母體、胎兒及痳醉效果的影響。結果痳醉效果差者CESA組明顯少于EPS組,組間比較差異具有統計學意義(P <0.01),CESA組的痳醉時間,取胎時間,手術時間均短于EPS組,組間比較差異具有統計學意義(P <0.01),術中產婦、胎兒情況兩組均無顯著性差異,無統計學意義(P >0.05)。結論腰-硬聯閤痳醉與單純實施硬膜外痳醉相比在古典式剖宮產術中的應用對比觀察得齣,腰-硬聯閤痳醉在古典式剖宮術式中的應用,能夠明顯改善手術醫生的操作條件,而且能夠提高產婦及其傢屬的滿意率,是臨床上值得大力推廣的一種痳醉方法。
목적탐토불동마취방법재고전식부복산술중대모체、태인마취효과적영향,위고전식부궁산술식채취하충마취방법경위우월제공이론의거。방법선택고전식부궁산술식120례,기중60례채용경막외마취(EPS),60례채용요-경연합마취(CESA),대비관찰량충마취방법재고전식부궁산술식중대모체、태인급마취효과적영향。결과마취효과차자CESA조명현소우EPS조,조간비교차이구유통계학의의(P <0.01),CESA조적마취시간,취태시간,수술시간균단우EPS조,조간비교차이구유통계학의의(P <0.01),술중산부、태인정황량조균무현저성차이,무통계학의의(P >0.05)。결론요-경연합마취여단순실시경막외마취상비재고전식부궁산술중적응용대비관찰득출,요-경연합마취재고전식부궁술식중적응용,능구명현개선수술의생적조작조건,이차능구제고산부급기가속적만의솔,시림상상치득대력추엄적일충마취방법。
Objiective Discusses the different anaesthesia method to anaesthetize the effect in the classical-like influence. Methods Choose the classical-like Caesarean birth technique type 120 examples,60 cases with epidural anesthesia(EPS) , 60 cases of combined spinal-epidural anesthesia ( CESA ),the contrast observes two anaesthesia menthods in classical-like Caesarean birth technique in the formula to the parent substance,the embryo and the anesthesia effect influence.Results The anaesthesia effect difference CESA group is short obviously in the EPS group,the group the comparison difference has statistics significance(P < 0.01),the CESA group,s anaesthesia time,takes the embryo time,the surgery time short in the EPS group,the group the comparison difference has statistics significance(P <0.01),in the technique the parturient woman,the embryo situation two groups do not have the significance difference,nun-statistics significan (P >0.05).Conclusion CESA and implements EPS to compare purely application contrast observation obtains in the classical-like Caesarean birth technique,CESA in classical-like Caesarean birth technique in the formula application,can improve the surgery doctor,s operating condition obviously,moreover can enhance the parturient woman and family member,s satisfaction rate,is one anaesthesia method which on clinical is worth promoting vigorously.