CAJ | 학술논문

探讨腰硬联合麻醉应用于剖宫产手术中的麻醉方法以及安全性。方法：收治ASA Ⅰ～Ⅱ级剖宫产患者120例，随机分为腰硬联合组(CSEA)和硬膜外组(EA)各60例，对两组患者感觉阻滞起效时间、阻滞效果、麻醉开始至胎儿娩出时间、麻醉并发症及新生儿Apgar评分进行对比。结果：CSEA组的最高阻滞平面及达到时间、麻醉开始到胎儿娩出时间均明显短于EA组(P＜0.05)，CSEA组的麻醉效果明显优于EA组(P＜0.05)，CSEA组术中麻黄素的使用多于EA组，两组均无麻醉并发症。两组新生儿Apgar评分差异无统计学意义。结论：腰硬联合麻醉应用于剖宫产手术综合了脊麻以及硬膜外阻滞的优点，对产妇、新生儿安全性与有效性高，镇痛、肌松完善，不良反应小。
탐토요경연합마취응용우부궁산수술중적마취방법이급안전성。방법：수치ASA Ⅰ～Ⅱ급부궁산환자120례，수궤분위요경연합조(CSEA)화경막외조(EA)각60례，대량조환자감각조체기효시간、조체효과、마취개시지태인면출시간、마취병발증급신생인Apgar평분진행대비。결과：CSEA조적최고조체평면급체도시간、마취개시도태인면출시간균명현단우EA조(P＜0.05)，CSEA조적마취효과명현우우EA조(P＜0.05)，CSEA조술중마황소적사용다우EA조，량조균무마취병발증。량조신생인Apgar평분차이무통계학의의。결론：요경연합마취응용우부궁산수술종합료척마이급경막외조체적우점，대산부、신생인안전성여유효성고，진통、기송완선，불량반응소。
Objective:To explore the anesthesia method and security of the application of combined spinal epidural anesthesia in cesarean section operation.Methods:120 patients with cesarean section in ASA Ⅰ~Ⅱ grade were selected.They were randomly divided into the combined spinal epidural group(CSEA) and the epidural group(EA) with 60 cases in each.The sensory blockade onset times,blockade effects,anesthesia began to fetal childbirth times,anesthesia complications and neonatal Apgar scores of two groups were compared.Results:The highest blockade plane and arrivaltime,anesthesia began to fetal childbirth time of CSEA group were significantly shorter that those of EA group(P<0.05).The anesthesia effect of CSEA group was significantly better than that of EA group(P<0.05).The use of intraoperative ephedrine in CSEA group was more than of EA group.The two groups had no anesthesia complications.The difference between the neonatal Apgar scores of two groups was statistically significant.Conclusion:The application of combined spinal epidural anesthesia in cesarean section operation composites the advantages of spinal anesthesia and epidural block,has high safety and efficacy of maternal and newborn,the analgesia and muscle relaxation are perfect,the adverse reaction is less.