腰麻-硬膜外联合麻醉在双胎剖宫产术中的临床应用

摘要

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.%目的：探讨腰麻-硬膜外联合麻醉在双胎剖宫产术中的临床效果。方法选取本院2012年1月~2015年1月收治的100例双胎剖宫产产妇作为研究对象，按照麻醉方法的不同分为观察组与对照组，各50例。观察组采用腰麻-硬膜外联合麻醉，对照组采用硬膜外麻醉，比较两组的麻醉起效时间、出现低血压时间、肌肉松弛效果及新生儿Apgar评分。结果观察组的麻醉总有效率为94.0%，显著高于对照组的82.0%，差异有统计学意义(P<0.05)。观察组的麻醉起效时间、出现低血压时间显著短于对照组，差异有统计学意义(P<0.05)。观察组的肌肉松弛优良率及新生儿Apgar评分显著高于对照组，差异有统计学意义(P<0.05)。结论腰麻-硬膜外联合麻醉在双胎剖宫产术中的麻醉镇痛效果良好，对血流动力学影响较小，能够缩短分娩时间，安全性更高，值得临床推广应用。