CAJ | 학술논문

目的：分析和研究硬-腰联合麻醉在剖宫产妇女手术中的应用效果。方法选取该院采用剖宫产术结束分娩的111例产妇作为研究对象，经征得患者同意分成对照组和观察组，对照组采用硬膜外麻醉，观察组采用硬-腰联合麻醉，然后将两组的麻醉效果进行对比。结果观察组麻醉显效时间为(48±11)s，明显早于对照组；观察组低血压发生率为17.9%，明显高于对照组；观察组患者麻醉的总优良率为91.1%，明显高于对照组，该两组患者的麻醉优良率对比，差异有统计学意义(P<0.05)。此外，两组产妇均顺利分娩，没有胎儿死亡病例，该两组新生儿评分对比，差异无统计学意义(P>0.05)。结论对于剖宫产手术患者，给予硬-腰联合麻醉具有麻醉起效快和效果好等优点，只要控制好患者的血压，是可以推行的麻醉方案。
목적：분석화연구경-요연합마취재부궁산부녀수술중적응용효과。방법선취해원채용부궁산술결속분면적111례산부작위연구대상，경정득환자동의분성대조조화관찰조，대조조채용경막외마취，관찰조채용경-요연합마취，연후장량조적마취효과진행대비。결과관찰조마취현효시간위(48±11)s，명현조우대조조；관찰조저혈압발생솔위17.9%，명현고우대조조；관찰조환자마취적총우량솔위91.1%，명현고우대조조，해량조환자적마취우량솔대비，차이유통계학의의(P<0.05)。차외，량조산부균순리분면，몰유태인사망병례，해량조신생인평분대비，차이무통계학의의(P>0.05)。결론대우부궁산수술환자，급여경-요연합마취구유마취기효쾌화효과호등우점，지요공제호환자적혈압，시가이추행적마취방안。
Objective To analyze the clinical effect of waist hard joint anesthesia used in cesarean section.Methods Choose our end of cesarean section delivery of 111 cases of maternal as the research object, with the approval of the consent of the patients were divided into control group and observation group, control group adopts epidural anesthesia, observation group the hard-waist joint anesthesia, and then compare two sets of anesthetic effect. Results Observation group anesthesia for (48+11) s were marked-ly improved, obviously earlier than the control group;Hypotension incidence was 17.9%, the observation group was obviously high-er than that of control group. Observation group of patients with total anesthesia was 91.1%, significantly higher than the control group, the anesthesia was compared two groups of patients, there are significant differences (P< 0.05), with statistical significance. In addition, two groups of maternal birth, no fetal deaths, the two groups of neonatal score comparison, difference was not statisti-cally significant (P>0.05). Conclusion Waist hard joint anesthesia for patients receiving cesarean section surgery, with the advan-tages of fast and good effect , is feasible based on the good control of blood pressure.