Anesthetic Effect of Epidural Anesthesia and Combined Spinal Epidural Anesthesia in Cesarean Section and its Influence on Hemodynamics
Objective To observe the anesthetic effect of epidural anesthesia and combined spinal-epidural anesthesia in cesarean section and its influence on hemodynamics.Methods A total of 62 parturients who underwent cesarean section in our hospital from January 2020 to February 2023 were selected as the research objects.They were divided into control group(n=31)and observation group(n=31)by random number table method.The control group was treated with epidural anesthesia,and the observation group was treated with combined spinal-epidural anesthesia.The anesthetic effect,anesthesia onset time,highest pain level,maternal hemodynamic indexes(blood pressure,heart rate)at different time periods,pain(VAS)scores at different time periods and adverse reactions were compared between the two groups.Results The excellent and good rate of anesthesia in the observation group was 93.55％,which was higher than 80.65％in the control group(P＜0.05).The onset time of anesthesia and the highest level of pain in the observation group were shorter than those in the control group(P＜0.05).The heart rate of the two groups during skin incision was higher than that before anesthesia,and the diastolic blood pressure and systolic blood pressure were lower than those before anesthesia,but the heart rate of the observation group was lower than that of the control group,and the diastolic blood pressure and systolic blood pressure were higher than those of the control group(P＜0.05).The VAS score of the observation group at 6,12 and 24 h after operation was lower than that of the control group(P＜0.05).The incidence of adverse reactions in the observation group was 6.45％,which was lower than 19.35％in the control group(P＜0.05).Conclusion Compared with epidural anesthesia,combined spinal-epidural anesthesia has a significant anesthetic effect in cesarean section,and the onset of anesthesia is rapid.Meanwhile,it not only has little effect on hemodynamics,but also can significantly reduce the postoperative pain of non-pregnant women,and can reduce the adverse reactions of anesthesia.It has significant clinical application advantages.
万方数据
维普
