Clinical application of combined lumbar and epidural anesthesia using paraspinal short axis oblique scanning ultrasound localization in painless delivery of obese parturients
Objective To explore the clinical application effect of combined lumbar epidural anesthesia with oblique scan ultrasound localization in painless delivery of obese parturients.Methods 60 painless delivery mothers were selected as the research subjects and randomly divided into two groups using a random number table method,with 30 cases in each group.The control group used traditional hand touch on the body surface for marking positioning,while the study group used paraspinal short axis oblique scanning for marking positioning.The success time,number of punctures,and incidence of complications were compared between the two groups.Results The success time of puncture in the study group was shorter than that in the control group,and the number of punctures was less than that in the control group,with a statistically significant difference(P＜0.05);The incidence of complications in the study group was 13.33％,lower than 46.67％in the control group,and the difference was statistically significant(P＜0.05).Conclusion The application of combined lumbar epidural anesthesia with oblique scan ultrasound localization in the paraspinal midline can significantly shorten the puncture time,reduce the number of punctures,and reduce the incidence of complications in painless delivery of obese women.It is worth promoting and applying.
Painless deliveryShort axis oblique scanning ultrasound localization near the columnCombined spinal epidural anesthesiaObesityMaternity
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