CAJ | 학술논문

目的：研究不同麻醉方法及液体管理方式对子痫前期治疗的影响。方法选取两院(深圳市宝安区妇幼保健院与广东省开平市妇幼保健院,以下简称两院)2010年8月-2013年8月收治的200例子痫前期患者,结合其病情特征采取针对性的麻醉方式,根据麻醉方式分别分为CSEA组、GA组、EA组,研究几类麻醉方式的临床优势,同时对围手术期液体管理的注意要素进行说明。结果CSEA组的给药至手术开始时间以及麻醉给药至胎儿分娩时间均显著低于另外两组(P<0.05),3组在补充晶体液、胶体液以及手术时间差异无统计学意义(P>0.05)。结论CSEA相比另外几种麻醉方式起效更快,胎儿娩出时间较短,可优先考虑此种麻醉方式,同时还需了解子痫前期患者的临床表现,选择适应的麻醉方式,同时加强液体管理办法,进而保证产妇与婴儿的健康。
목적：연구불동마취방법급액체관리방식대자간전기치료적영향。방법선취량원(심수시보안구부유보건원여광동성개평시부유보건원,이하간칭량원)2010년8월-2013년8월수치적200례자간전기환자,결합기병정특정채취침대성적마취방식,근거마취방식분별분위CSEA조、GA조、EA조,연구궤류마취방식적림상우세,동시대위수술기액체관리적주의요소진행설명。결과CSEA조적급약지수술개시시간이급마취급약지태인분면시간균현저저우령외량조(P<0.05),3조재보충정체액、효체액이급수술시간차이무통계학의의(P>0.05)。결론CSEA상비령외궤충마취방식기효경쾌,태인면출시간교단,가우선고필차충마취방식,동시환수료해자간전기환자적림상표현,선택괄응적마취방식,동시가강액체관리판법,진이보증산부여영인적건강。
Objective To study the impact of different anesthesia methods and fluid management on the treatment of preeclampsia. Methods 200 patients with preeclampsia admitted in the two hospitals (Shenzhen Baoan Maternal and Child Health Hospital and Guangdong Kaiping Maternal and Child Health Hospital, hereinafter referred to as the two hospitals) from August 2010 to August 2013 were selected. And the patients were given targeted mode of anesthesia according to the characteristics of the disease. The patients were divided into CSEA group, GA group, EA group and CSEA group in accordance with the anesthesia method given to them. The clinical advantages of these kinds of anesthesia methods were studied, at the same time the elements in fluid manage-ment needed to be paid attention during the perioperative period were explained. Results The duration from the anesthesia admin-istration to the start time of operation and the period from the anesthesia administration to the fetal delivery time of the CSEA group were significantly less than the other two groups (P<0.05);but the difference in supplementary crystalloid fluid, colloid fluid and operation time between the three groups was not significant (P>0.05). Conclusion Compared with the several other anesthesia methods, CSEA has faster onset, which makes the delivery time become shorter, so it can be given priority, but the clinical mani-festations of patients with preeclampsia are also needed to be understood in order to choose the proper anesthesia method. Strengthening the liquid management measures at the same time can ensure the maternal and infant health.