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腰麻-硬膜外联合麻醉在双胎剖宫产术中的临床应用

马宝杰 任玮玮

中国当代医药Issue(30):68-70,3.
中国当代医药Issue(30):68-70,3.

腰麻-硬膜外联合麻醉在双胎剖宫产术中的临床应用

Clinical application of combined spinal-epidural anesthesia in twin preg-nancy cesarean section

马宝杰 1任玮玮2

作者信息

  • 1. 大连市妇女儿童医疗中心麻醉科,大连 116000
  • 2. 大连市妇幼保健院妇产科,大连 116033
  • 折叠

摘要

Abstract

Objective To explore the clinical effect of combined spinal-epidural anesthesia (CSEA) in twin pregnancy cesarean section. Methods 100 pregnant women with twins accepted cesarean section from January 2012 to January 2015 in our hospital were selected and divided into the observation group and the control group according to the dif-ferent methods of anesthesia.The observation group was given CESA,the control group was given epidural anesthesia (EA).The anesthesia onset time,time on hypotension,muscular relaxation effect and neonatal Apgar score and so on in two groups was compared. Results The total effective rate of anesthesia in the observation group was 94.0%,which was higher than that in the control group,with significant difference (P<0.05).The anesthesia onset time,time on hypotension in the observation group was shorter than that in the control group,with significant difference (P<0.05).The excellent and good rate of muscular relaxation effect and neonatal Apgar score in the observation group was higher than that in the control group,with significant difference (P<0.05). Conclusion The anesthesia effect of CESA in twin pregnancy ce-sarean section is good,the influence on hemodynamics is small,and which can shorten delivery time,safety is higher,it is worthy of clinical promotion and application.

关键词

双胎/剖宫产/腰麻-硬膜外联合麻醉

Key words

Twins/Cesarean section/Combined spinal-epidural anesthesia

分类

医药卫生

引用本文复制引用

马宝杰,任玮玮..腰麻-硬膜外联合麻醉在双胎剖宫产术中的临床应用[J].中国当代医药,2015,(30):68-70,3.

中国当代医药

1674-4721

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