首页|小剂量腰麻-硬膜外联合阻滞麻醉在高龄剖宫产产妇中的麻醉效果分析

小剂量腰麻-硬膜外联合阻滞麻醉在高龄剖宫产产妇中的麻醉效果分析

扫码查看
目的 探讨小剂量腰麻-硬膜外联合阻滞麻醉在高龄剖宫产产妇中的麻醉效果及对生命体征、并发症的影响。方法 选择50例高龄剖宫产产妇为研究对象,按照随机数字表法分为对照组和研究组,每组25例。对照组实施硬膜外麻醉,研究组实施小剂量腰麻-硬膜外联合阻滞麻醉,比较两组麻醉效果、不同时间点生命体征、术后并发症发生率。结果 研究组麻醉起效时间短于对照组,Bromage评分高于对照组,麻黄碱用量少于对照组(P<0。05);麻醉前,两组心率、平均动脉压比较差异无统计学意义(P>0。05);麻醉后5 min、麻醉后10 min、胎儿娩出时,研究组心率、平均动脉压均高于对照组(P<0。05);两组并发症总发生率比较差异无统计学意义(P>0。05)。结论 高龄剖宫产产妇中采用小剂量腰麻-硬膜外联合阻滞麻醉的麻醉效果较好,对产妇生命体征影响较小,并发症发生率较低,值得临床推广与应用。
Analysis of the anesthetic effect of low dose combination of lumbar anesthesia and epidural block anesthesia in elderly women with cesarean section
Objective To investigate the effect of low-dose combined epidural anesthesia with lumbar anesthesia in elderly women with cesarean section and its influence on vital signs and complications.Methods A total of 50 old women with cesarean section were selected as the study objects,and were divided into control group and study group according to random number table method,with 25 cases in each group.The control group was given epidural anesthesia,and the study group was given low-dose combined epidural block anesthesia.The anesthetic effect,vital signs at different time points and the incidence of postoperative complications were compared between the two groups.Results The onset time of anesthesia in the study group was shorter than that in the control group,the Bromage score was higher than that in the control group,and the dosage of ephedrine was lower than that in the control group(P<0.05).Before anesthesia,there was no significant difference in heart rate and mean arterial pressure between the two groups(P>0.05).The heart rate and mean arterial pressure of the study group were higher than those of the control group(P<0.05)at 5min after anesthesia,10min after anesthesia and fetal delivery.There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion The effect of low-dose combination of lumbar anesthesia and epidural block anesthesia is better,it has little effect on the vital signs of the women and the incidence of complications is lower,which is worthy of clinical promotion and application.

Cesarean sectionOld ageLow dose lumbar anesthesia combined with epidural block anesthesiaAnesthetic effect

王萍、张泽楷、黄鹏程、郑欢洁

展开 >

潮州市人民医院 麻醉科,广东潮州 521000

剖宫产产妇 高龄 小剂量腰麻-硬膜外联合阻滞麻醉 麻醉效果

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(4)
  • 10