摘要
目的研究比较腰硬联合麻醉（CSEA）和硬膜外麻醉（EA）在剖宫产病人中的应用。方法100例ASA-级的产妇,随机分为CSEA组和EA组,每组50例。CSEA组经L2-3穿刺,珠网膜下腔注入0.5%布比卡因1.5-2.0ml,注射速度控制在20-30s。仰卧位后调节痛觉阻滞平面达T7水平。EA组也经L2-3进行硬膜外穿刺,并向头侧置管3-5cm,常规注入2%利多卡因实验量3-5ml,之后注入2%利多卡因5-8ml,尽可能使手术开始前痛觉阻滞上限达T7水平。术中观察血流动力学、麻醉效果、不良反应,记录新生儿1 min和5 min的Apgar评分。结果产妇SpO2均维持在95%以上,HR、SBP、DBP的变化两组间相近;麻醉时间及胎儿娩出时间CSEA组明显快于EA组;不良反应情况两组间相近,CSEA组麻醉效果优于EA组。结论CSEA组起效迅速,阻滞完善,麻醉效果优于EA组,且对呼吸循环影响小,是剖宫产最理想的麻醉方法。
Objective To compare the clinical effect of combined spinal-epidural anesthesia （CSEA） and continuous epidural anesthesia （CEA） on cesarean section. Method 100 cases were randomly divided into CSEA group （with CSEA）and CEA group （with CEA）, and then monitor HR, SBP, DBP, and untoward reaction. Result There was no significantly different in HR, SBP, DBP, and untoward reaction in the two groups. The time of anaesthesia and fetal disengagement of CSEA group were shorter than that of CEA group obviously. Conclusion It＇s an ideal anesthesia method for obstetrics with CSEA.
出处
《西部医学》
2008年第4期753-754,共2页
Medical Journal of West China
