CAJ | 학술논문

目的：分析正常进食对急诊宫外孕手术腰硬联合麻醉的危险及相关性。方法：选择2009年7月至2013年7月行CSEA宫外孕手术110例患者进行研究，其中70例正常进食宫外孕手术手术患者作为研究组，将ASAⅠ～Ⅱ级40例宫外孕手术患者作为对照组，两组患者均行CSEA，分别对研究组、对照组患者术中出现危险进行比较及相关性分析。结果：研究组恶性、呕吐发病率高于对照组，但是没有统计学意义，对照组低血压发病率高于研究组，有统计学意义（ P＜0．05）。研究组使用胃复安的患者恶心、呕吐的发病率降低。结论：术前及术中使用胃复安可明显减低正常进食患者恶心、呕吐的发病率。
목적：분석정상진식대급진궁외잉수술요경연합마취적위험급상관성。방법：선택2009년7월지2013년7월행CSEA궁외잉수술110례환자진행연구，기중70례정상진식궁외잉수술수술환자작위연구조，장ASAⅠ～Ⅱ급40례궁외잉수술환자작위대조조，량조환자균행CSEA，분별대연구조、대조조환자술중출현위험진행비교급상관성분석。결과：연구조악성、구토발병솔고우대조조，단시몰유통계학의의，대조조저혈압발병솔고우연구조，유통계학의의（ P＜0．05）。연구조사용위복안적환자악심、구토적발병솔강저。결론：술전급술중사용위복안가명현감저정상진식환자악심、구토적발병솔。
Objective:To explore risk and correlation of emergency ectopic pregnancy operation com-bined spinal epidural anesthesia ( CSEA ) after normal eating .Method: A respective study was conducted from Jul.2009 to Jul.2013 in the selection, 110 patients underwent CSEA operation of ectopic pregnancy were studied , 70 cases of normal eating inpatients with ectopic pregnancy operation as the study group , ASAⅠ~II in 40 cases of ectopic pregnancy operation patients as the control group , two group of patients were performed CSEA .Result:Malignant , vomiting incidence rate was higher in research group than the control group, but no statistical significance , study group was higher than that in control group , the incidence of hy-potension was statistical significance (P<0.05).The incidence of nausea and vomiting in study group used metoclopramide was reduced the rate of occurrance .Conclusion:Preoperative and intraoperative use of meto-clopramide is significantly lower in patients with nausea , vomiting after eating a normal .