中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
30期
68-70
,共3页
双胎%剖宫产%腰麻-硬膜外联合麻醉
雙胎%剖宮產%腰痳-硬膜外聯閤痳醉
쌍태%부궁산%요마-경막외연합마취
Twins%Cesarean section%Combined spinal-epidural anesthesia
目的：探讨腰麻-硬膜外联合麻醉在双胎剖宫产术中的临床效果。方法选取本院2012年1月~2015年1月收治的100例双胎剖宫产产妇作为研究对象，按照麻醉方法的不同分为观察组与对照组，各50例。观察组采用腰麻-硬膜外联合麻醉，对照组采用硬膜外麻醉，比较两组的麻醉起效时间、出现低血压时间、肌肉松弛效果及新生儿Apgar评分。结果观察组的麻醉总有效率为94.0%，显著高于对照组的82.0%，差异有统计学意义(P<0.05)。观察组的麻醉起效时间、出现低血压时间显著短于对照组，差异有统计学意义(P<0.05)。观察组的肌肉松弛优良率及新生儿Apgar评分显著高于对照组，差异有统计学意义(P<0.05)。结论腰麻-硬膜外联合麻醉在双胎剖宫产术中的麻醉镇痛效果良好，对血流动力学影响较小，能够缩短分娩时间，安全性更高，值得临床推广应用。
目的：探討腰痳-硬膜外聯閤痳醉在雙胎剖宮產術中的臨床效果。方法選取本院2012年1月~2015年1月收治的100例雙胎剖宮產產婦作為研究對象，按照痳醉方法的不同分為觀察組與對照組，各50例。觀察組採用腰痳-硬膜外聯閤痳醉，對照組採用硬膜外痳醉，比較兩組的痳醉起效時間、齣現低血壓時間、肌肉鬆弛效果及新生兒Apgar評分。結果觀察組的痳醉總有效率為94.0%，顯著高于對照組的82.0%，差異有統計學意義(P<0.05)。觀察組的痳醉起效時間、齣現低血壓時間顯著短于對照組，差異有統計學意義(P<0.05)。觀察組的肌肉鬆弛優良率及新生兒Apgar評分顯著高于對照組，差異有統計學意義(P<0.05)。結論腰痳-硬膜外聯閤痳醉在雙胎剖宮產術中的痳醉鎮痛效果良好，對血流動力學影響較小，能夠縮短分娩時間，安全性更高，值得臨床推廣應用。
목적：탐토요마-경막외연합마취재쌍태부궁산술중적림상효과。방법선취본원2012년1월~2015년1월수치적100례쌍태부궁산산부작위연구대상，안조마취방법적불동분위관찰조여대조조，각50례。관찰조채용요마-경막외연합마취，대조조채용경막외마취，비교량조적마취기효시간、출현저혈압시간、기육송이효과급신생인Apgar평분。결과관찰조적마취총유효솔위94.0%，현저고우대조조적82.0%，차이유통계학의의(P<0.05)。관찰조적마취기효시간、출현저혈압시간현저단우대조조，차이유통계학의의(P<0.05)。관찰조적기육송이우량솔급신생인Apgar평분현저고우대조조，차이유통계학의의(P<0.05)。결론요마-경막외연합마취재쌍태부궁산술중적마취진통효과량호，대혈류동역학영향교소，능구축단분면시간，안전성경고，치득림상추엄응용。
Objective To explore the clinical effect of combined spinal-epidural anesthesia (CSEA) in twin pregnancy cesarean section. Methods 100 pregnant women with twins accepted cesarean section from January 2012 to January 2015 in our hospital were selected and divided into the observation group and the control group according to the dif-ferent methods of anesthesia.The observation group was given CESA,the control group was given epidural anesthesia (EA).The anesthesia onset time,time on hypotension,muscular relaxation effect and neonatal Apgar score and so on in two groups was compared. Results The total effective rate of anesthesia in the observation group was 94.0%,which was higher than that in the control group,with significant difference (P<0.05).The anesthesia onset time,time on hypotension in the observation group was shorter than that in the control group,with significant difference (P<0.05).The excellent and good rate of muscular relaxation effect and neonatal Apgar score in the observation group was higher than that in the control group,with significant difference (P<0.05). Conclusion The anesthesia effect of CESA in twin pregnancy ce-sarean section is good,the influence on hemodynamics is small,and which can shorten delivery time,safety is higher,it is worthy of clinical promotion and application.
