医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2015年
21期
49-50
,共2页
腰硬联合麻醉%硬膜外麻醉%布比卡因%重度妊娠期高血压疾病%剖宫产
腰硬聯閤痳醉%硬膜外痳醉%佈比卡因%重度妊娠期高血壓疾病%剖宮產
요경연합마취%경막외마취%포비잡인%중도임신기고혈압질병%부궁산
Combined spinal-epidural anesthesia(CSEA)%Continuous epidural anesthesia (CEA)%Bupivacaine%Severe gestational hypertension disease%Cesarean delivery
目的：探讨小剂量布比卡因腰麻复合硬膜外麻醉应用于重度妊娠期高血压疾病产妇剖宫产手术的安全性及其效果。方法选择80例重度妊娠期高血压产妇，随机分为两组，E组（硬膜外组），C组（腰硬联合组）。观察两组麻醉诱导时间、心率、平均动脉压等血流动力学变化，麻醉效果，新生儿1min和5min Apgar评分等情况。结果 C组麻醉诱导时间明显短于E组，效果也明显优于E组，有统计学意义（<0.5）；新生儿1min Apgar评分两组无明显区别，无统计学意义（>0.5）；两组血流动力学无明显区别，无统计学意义（>0.5）。结论小剂量布比卡因腰硬联合麻醉起效快，效果好，对新生儿无明显影响，且对血流动力学的影响与硬膜外无明显区别，可安全应用于妊娠期高血压疾病产妇。
目的：探討小劑量佈比卡因腰痳複閤硬膜外痳醉應用于重度妊娠期高血壓疾病產婦剖宮產手術的安全性及其效果。方法選擇80例重度妊娠期高血壓產婦，隨機分為兩組，E組（硬膜外組），C組（腰硬聯閤組）。觀察兩組痳醉誘導時間、心率、平均動脈壓等血流動力學變化，痳醉效果，新生兒1min和5min Apgar評分等情況。結果 C組痳醉誘導時間明顯短于E組，效果也明顯優于E組，有統計學意義（<0.5）；新生兒1min Apgar評分兩組無明顯區彆，無統計學意義（>0.5）；兩組血流動力學無明顯區彆，無統計學意義（>0.5）。結論小劑量佈比卡因腰硬聯閤痳醉起效快，效果好，對新生兒無明顯影響，且對血流動力學的影響與硬膜外無明顯區彆，可安全應用于妊娠期高血壓疾病產婦。
목적：탐토소제량포비잡인요마복합경막외마취응용우중도임신기고혈압질병산부부궁산수술적안전성급기효과。방법선택80례중도임신기고혈압산부，수궤분위량조，E조（경막외조），C조（요경연합조）。관찰량조마취유도시간、심솔、평균동맥압등혈류동역학변화，마취효과，신생인1min화5min Apgar평분등정황。결과 C조마취유도시간명현단우E조，효과야명현우우E조，유통계학의의（<0.5）；신생인1min Apgar평분량조무명현구별，무통계학의의（>0.5）；량조혈류동역학무명현구별，무통계학의의（>0.5）。결론소제량포비잡인요경연합마취기효쾌，효과호，대신생인무명현영향，차대혈류동역학적영향여경막외무명현구별，가안전응용우임신기고혈압질병산부。
Objective To explore using low-dose intrathecal bupivacaine combined epidural anesthesia applied in severe gestational hypertension disease maternal ef ect and safety of cesarean delivery operation. Methods Select 80 cases of severe maternal gestational hypertension, randomly divided into two groups, group E (epidural group), group C (combined spinal-epidural anesthesia group). Observe two groups of anesthesia induction time, heart rate, mean arterial pressure, such as hemodynamic changes, anesthetic ef ect, neonatal Apgar scores 1 minute and 5 minute, and so on and so forth. Results Group C anesthesia induction time is significantly shorter than that of group E , ef ect is also obviously bet er than that of group E, there are statistical y significant ( <0.5);Neonatal Apgar scores 1 minute and 5 minute, two groups have no obvious dif erence,no statistical significance( >0.5);No significant dif erence between two groups of hemodynamics, no statistical significance (> 0.5).Conclusion Not only the anesthesia induction time of CSEA using low-dose intrathecal bupivacaine is faster than that of CEA ,but also the ef ect is bet er, has no obvious influence on the neonate, and the influence of hemodynamic has no obvious dif erence with CEA.It is safe and ef ective using low-dose intrathecal bupivacaine combined epidural anesthesia applied in cesarean section patients with severe gestational hypertension disease maternal .
