CAJ | 학술논문

目的：探讨急诊剖宫产患者应用不同麻醉方式的临床效果。方法：2013年7月-2014年6月收治剖宫产患者80例，将其随机分为对照组(40例)和观察组(40例)。对照组采用连续硬膜外麻醉方案，观察组采用腰-硬膜外联合麻醉方案，观察两组患者的临床麻醉效果。结果：观察组的麻醉优良率明显高于对照组，诱导时间和手术时间短于对照组，不良反应发生率低于对照组，差异具有统计学意义(P＜0.05)。结论：急诊剖宫产患者腰-硬膜外联合麻醉方案的优良率更高，诱导时间和手术时间相对更短，且不良反应发生率更低，能够达到理想的麻醉效果。
목적：탐토급진부궁산환자응용불동마취방식적림상효과。방법：2013년7월-2014년6월수치부궁산환자80례，장기수궤분위대조조(40례)화관찰조(40례)。대조조채용련속경막외마취방안，관찰조채용요-경막외연합마취방안，관찰량조환자적림상마취효과。결과：관찰조적마취우량솔명현고우대조조，유도시간화수술시간단우대조조，불량반응발생솔저우대조조，차이구유통계학의의(P＜0.05)。결론：급진부궁산환자요-경막외연합마취방안적우량솔경고，유도시간화수술시간상대경단，차불량반응발생솔경저，능구체도이상적마취효과。
Objective:To explore the clinical effect of different anesthesia application in patients with emergency cesarean delivery.Methods:80 cases of emergency cesarean delivery were selected from July 2013 to June 2014.They were divided into the control group and the observation group with 40 cases in each.The control group accepted continuous epidural anesthesia,and the observation group accepted combined spinal-epidural anesthesia.We observed the clinical anesthesia effect of the two groups. Results: The ratio of excellent anesthetic effect in the observation group was significantly higher than that of the control group,and the anesthesia induction time and operation time were shorter than that of the control group.The incidence rate of adverse reaction was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusion:Combined spinal-epidural anesthesia application in patients with emergency cesarean delivery had higher ratio of excellent anesthetic effect and shorter induction time and operating time which had lower incidence of adverse reactions and could achieve the ideal anesthetic effect.