医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2012年
29期
42-43
,共2页
王莉莉%吴贵龙%朋立超%蒋克泉
王莉莉%吳貴龍%朋立超%蔣剋泉
왕리리%오귀룡%붕립초%장극천
妊高症%剖宫产术%麻醉
妊高癥%剖宮產術%痳醉
임고증%부궁산술%마취
Hypertension of pregnancy%Cesarean section%Anesthesia
目的比较硬膜外与腰硬联合麻醉在妊高症病人剖宫产术中的麻醉效果.方法我院2011年7月~2012年7月收治的100例拟剖宫产的妊高症患者,按 RCT 原则均分为对照组(硬膜外)和实验组(腰硬联合),比较两组麻醉情况及新生儿评分等.结果两组血流动力学变化、不良反应及新生儿评分等经统计学分析无显著性差异(P 值大于0.05),麻醉平面、术中肌松效果,观察组优于对照组,有显著性差异(P 值小于0.05).结论腰硬联合麻醉可作为某些患者的首选麻醉方式.
目的比較硬膜外與腰硬聯閤痳醉在妊高癥病人剖宮產術中的痳醉效果.方法我院2011年7月~2012年7月收治的100例擬剖宮產的妊高癥患者,按 RCT 原則均分為對照組(硬膜外)和實驗組(腰硬聯閤),比較兩組痳醉情況及新生兒評分等.結果兩組血流動力學變化、不良反應及新生兒評分等經統計學分析無顯著性差異(P 值大于0.05),痳醉平麵、術中肌鬆效果,觀察組優于對照組,有顯著性差異(P 值小于0.05).結論腰硬聯閤痳醉可作為某些患者的首選痳醉方式.
목적비교경막외여요경연합마취재임고증병인부궁산술중적마취효과.방법아원2011년7월~2012년7월수치적100례의부궁산적임고증환자,안 RCT 원칙균분위대조조(경막외)화실험조(요경연합),비교량조마취정황급신생인평분등.결과량조혈류동역학변화、불량반응급신생인평분등경통계학분석무현저성차이(P 치대우0.05),마취평면、술중기송효과,관찰조우우대조조,유현저성차이(P 치소우0.05).결론요경연합마취가작위모사환자적수선마취방식.
Objective : Comparison of epidural and combined spinal-epidural anesthesia in pregnancy induced hypertension patients during cesarean section anesthesia effect. Methods: in our hospital from 2011 July ~ 2012 year in July 100 cases of planned cesarean section in patients with pregnancy induced hypertension, according to RCT principles were divided into the control group and the experimental group (epidural ) (combined spinal-epidural anesthesia ), were compared between the two groups and the grading of the new born. Results: The two groups of hemodynamic changes, adverse reactions and the score of newborn and other statistical analysis showed no significant difference (P﹥0.05), the level of anesthesia, intraoperative muscle relaxing effect, the observation group than in the control group, there was significant difference (P less than 0.05). Conclusion: Combined spinal-epidural anesthesia can be used as some patients preferred anesthetic methods.