摘要
目的探讨不同麻醉方式对剖宫产术后腰背痛发生率的影响。方法选择本院120例剖宫产术者分为腰硬联合组、腰麻组和全麻组,分别实施腰硬联合麻醉、蛛网膜下腔麻醉和全身麻醉后行剖宫产术,记录3组患者的手术时间,观察3组患者腰背痛的发生情况。结果 3组患者的手术时间比较,差异无统计学意义(P>0.05)。腰硬联合组术后第2天和术后第7天的腰背痛发生率分别高于同期腰麻组和全麻组,差异有统计学意义(P<0.05);3组术后第30天的腰背痛发生率比较,差异无统计学意义(P>0.05)。结论蛛网膜下腔麻醉和全身麻醉对剖宫产术后患者的腰背痛影响较小,值得临床借鉴。
Objective To explore the influence of different anesthetic methods on incidence rate of lumbago and back-ache after caesarean section. Methods One hundred and twenty patients undergone caesarean section in our hospital were selected and divided into combined spinal epidural anesthesia group,lumbar anesthesia group and general anes-thesia group.The combined spinal epidural anesthesia,subarachnoid anaesthesia and general anesthesia was applied in combined spinal epidural anesthesia group,lumbar anesthesia group and general anesthesia group before caesarean sec-tion respectively.The operation time in three groups was recorded and occurrence of lumbago and backache among three groups was observed. Results There was no statistical difference in operation time among 3 groups （P〉0.05）.The incidence rate of lumbago and backache at the 2nd and 7th day after surgery in combined spinal epidural anesthesia group was higher than that in lumbar anesthesia group and general anesthesia group during the same period respective-ly,with statistical difference （P〈0.05）.There was no statistical difference in incidence rate of lumbago and backache at the 30th day among three groups（P〉0.05）. Conclusion The influence of subarachnoid anaesthesia and general anesthesia on lumbago and backache in patients after caesarean section are milder and are worthy of reference in clinic.
出处
《中国当代医药》
2014年第31期94-95,共2页
China Modern Medicine
关键词
剖宫产术
蛛网膜下腔麻醉
全身麻醉
腰硬联合麻醉
腰背痛
Caesarean section
Subarachnoid anaesthesia
General anesthesia
Combined spinal epidural anesthesia
Lumbago and backache
