Effects of intraspinal anesthesia used during the elective cesarean section on coagulation function and pain
Objective:To analyze the effects of epidural anesthesia and the combined epidural anesthesia used during the elective cesarean section of women on their coagulation function and pain degree.Methods:The clinical data of 110 women with the elective cesarean section from February 2021 to February 2023 were selected in this study retrospec-tively.According to the method of anesthesia,these women were divided 55 women with the epidural anesthesia in group A and 55 women with the combined epidural anesthesia epidural in group B.There were 2 women had dropped off in group A,and a total of 53 women were included for analysis finally.There were 3 women in group B had dropped out,and a total of 52 women were included for analysis finally.The values of anesthesia indexes,hemodynamic indexes and coagulation function indexes,the pain and the neonatal situations,and the incidence of adverse reactions of the women were compared between the two groups.Results:The infusion volume(1026.37±65.44 ml),the bleeding vol-ume(902.34±87.26 ml)and the operation time(104.27±9.34 min)of the women in group B were significantly lower than those(1789.56±70.22 ml,902.34±87.26 ml and 131.26±12.58)of the women in group A.The values of the mean arterial pressure(110.27±5.68 mmHg)and the heart rate(86.27±4.57 beats/min)of the women in group B were significantly higher than those(95.46±4.03 mmHg and 75.49±3.14 beats/min)of the women in group A.The values of activated partial thromboplastin time(26.03±2.14s)and the prothrombin time(11.98±0.54s)of the women in group B were significantly lower than those(29.63±3.28s and 13.66±1.03s)of the women in group A.The level of fibrinogen(2.93±0.32 g/L)of the women in group B was significantly higher than that(2.61±0.26 g/L)of the women in group A.The scores of visual analogue scale(1.32±0.49 points)and Ramsay sedation(2.43±0.13 points)of the women in group B were significantly lower than those(2.72±0.85 points and 3.14±0.46 points)of the women in group A.The incidence of adverse reactions(9.6％)of the women in group B was significantly lower than that(26.4％)of the women in group A(all P＜0.05).Conclusion:Intraspinal anesthesia can effectively during the cesarean section of the women can reduce their pain degree,and can keep the stabilizations of their coagulation function and hemodynam-ics,but the anesthesia effect of the combined epidural anesthesia is significantly better than that of the epidural anes-thesia.
万方数据
维普
