CAJ | 학술논문

目的：探讨腰硬联合麻醉在妊高症剖宫产手术中应用的有效性和安全性。方法选择于我院就诊的96例妊高症产妇，简单随机分成试验组48例和对照组48例。试验组行腰硬联合麻醉，对照组行单纯硬脊膜麻醉，观察两组产妇的麻醉效果、不良反应以及新生儿的Apgar评分。结果试验组麻醉起效时间、阻滞完善时间及麻醉药物剂量均小于对照组，镇痛持续时间高于对照组，试验组出现低血压、恶心、呕吐、头晕头痛、下肢麻木等不良反应的发生率均少于对照组（P＜0.05）。两组患者的MAP和新生儿的Apgar评分差异无统计学意义（P＞0.05）。结论腰硬联合麻醉的方法麻醉效果更好，镇痛维持时间长，不良反应率较低，对新生儿无影响，在妊高症剖宫产手术是一种较好的方法。
목적：탐토요경연합마취재임고증부궁산수술중응용적유효성화안전성。방법선택우아원취진적96례임고증산부，간단수궤분성시험조48례화대조조48례。시험조행요경연합마취，대조조행단순경척막마취，관찰량조산부적마취효과、불량반응이급신생인적Apgar평분。결과시험조마취기효시간、조체완선시간급마취약물제량균소우대조조，진통지속시간고우대조조，시험조출현저혈압、악심、구토、두훈두통、하지마목등불량반응적발생솔균소우대조조（P＜0.05）。량조환자적MAP화신생인적Apgar평분차이무통계학의의（P＞0.05）。결론요경연합마취적방법마취효과경호，진통유지시간장，불량반응솔교저，대신생인무영향，재임고증부궁산수술시일충교호적방법。
ABSTRACT:OBJECTIVE To discuss efficacy and safety of combined spinal-epidural anesthesia used in PIH.METHODS 96 patients of clinical diagnosis with PIH were selected , and were randomly divided into treat-ment group and control group (48 cases ineach group ).The treatment group was given combined spinal-epidural an-esthesia ,and control group was given epidural anesthesia.Anesthesia effect , adverse reaction and neonatal Apgar score of two groups were observed.RESULTS The anesthesia work time ,blockade finished time and anesthesia do-ses of treatment group were all less than control group ,duration of analgesia was higher than control group ,the rate of hypotension,nausea,vomiting,dizziness,headache,numbness of treatment group were all less than control group ,the differences were statistically significant ( P<0.05 ).The differences of MAP and Apgar score of two groups had no statistical significance ( P>0.05 ).CONCLUSION The combined spinal-epidural anesthesia has better anesthesia effect,long analgesia time ,low rate of adverse reactions ,no influence on the neonate ,and is a good method in PIH ce-sarean section.