摘要
目的研究腰硬联合麻醉与连续硬膜外麻醉对妊高症合并心衰剖宫产产妇的临床效果。方法选择在我院接受剖宫产的120例妊高症合并心衰产妇,随机分为试验组和对照组,各60例。对照组采用连续硬膜外麻醉,试验组采用腰硬联合麻醉。比较两组的临床效果。结果试验组的Ⅰ、Ⅱ级麻醉效果占比显著高于对照组,麻醉起效时间显著短于对照组(P<0.05)。对照组t_3、t_4时的MAP显著低于试验组,t_4、t_5时的HR显著低于试验组(P<0.05)。试验组产妇的低血压和牵拉反应发生率显著低于对照组(P<0.05)。结论腰硬联合麻醉用于妊高症合并心衰剖宫产产妇的麻醉效果显著,起效快,血流动力学稳定,对产妇和新生儿的不良反应小。
Objective To study the effect of combined spinal-epidural anesthesia and continuous epidural anesthesia on cesarean section of puerpera with hypertension and heart failure. Methods A total of 120 puerperas with hypertension and heart failure received cesarean section were randomly divided into test group（60 cases） and control group（60 cases）. The control group accepted continuous epidural anesthesia; the test group accepted combined spinal-epidural anesthesia. The clinical effects were compared between the two groups. Results The ratios of grade Ⅰ, Ⅱ anesthesia effects in the test group were significantly higher than those in the control group, and the onset time of anesthesia was significantly shorter than that in the control group（P〈0.05）. The MAP at t_3, t_4 in the control group were significantly lower than those in the test group,the HR at t_4, t_5 significantly were lower than those in the test group（P〈0.05）. The incidences of hypotension and traction reaction in the test group were significantly lower than those in the control group（P〈0.05）. Conclusion The anesthesia effect of combined spinal-epidural anesthesia on cesarean section puerpera with hypertension and heart failure is significant,fast onset, stable hemodynamics, and with less adverse reactions on parturient and newborn.
作者
陈琦
周园
CHEN Qi;ZHOU Yuan(Weinan Central Hospital,Weinan 714000,China)
出处
《临床医学研究与实践》
2018年第17期132-133,共2页
Clinical Research and Practice
关键词
腰硬联合麻醉
连续硬膜外麻醉
妊高症合并心衰
combined spinal-epidural anesthesia
continuous epidural anesthesia
hypertension and heart failure
