CAJ | 학술논문

目的：对瘢痕子宫剖宫产术中应用腰硬联合麻醉( CSEA)及连续硬膜外麻醉( CEA)的效果进行比较。方法选择2013年1月—2014年7月拟行剖宫产手术的瘢痕子宫产妇80例，按麻醉方法分为CSEA组和CEA组，每组40例。观察两组麻醉效果、新生儿情况及不良反应。结果 CSEA组感觉、运动阻滞起效时间、维持时间及恢复时间均短于CEA组( P<0．05)。两组手术时间及新生儿 Apgar评分、不良反应发生率比较差异无统计学意义( P >0．05)。结论 CSEA对瘢痕子宫剖宫产的麻醉效果较好，且对手术无明显影响。
목적：대반흔자궁부궁산술중응용요경연합마취( CSEA)급련속경막외마취( CEA)적효과진행비교。방법선택2013년1월—2014년7월의행부궁산수술적반흔자궁산부80례，안마취방법분위CSEA조화CEA조，매조40례。관찰량조마취효과、신생인정황급불량반응。결과 CSEA조감각、운동조체기효시간、유지시간급회복시간균단우CEA조( P<0．05)。량조수술시간급신생인 Apgar평분、불량반응발생솔비교차이무통계학의의( P >0．05)。결론 CSEA대반흔자궁부궁산적마취효과교호，차대수술무명현영향。
Objective To compare the effects of combined spinal epidural anesthesia ( CSEA) and continuous epidural anesthesia ( CEA ) in application of cesarean section of scarred uteruses. Methods A total of 80 pregnant women with scarred uteruses, who would undergo cesarean section during January 2013 and July 2014, were divided into CSEA group (n=40) and CEA group (n=40) according to anaesthetic methods. The anaesthetic effect, neonatal con-ditions and incidence rates of adverse reactions in the two groups were observed. Results The onset time, blocking du-ration and recovery time of sensory and kinetic blocking in CSEA group were shorter than those in the CEA group ( P<0. 05 ) . There were no significant differences in operation time, neonatal Apgar score and incidence rates of adverse reac-tions in the two groups (P>0. 05). Conclusion CSEA anesthesia in application of cesarean section of scarred uteruses may achieve better anesthetic effect without significant effect on the operation.