剖宫产的两种麻醉方法对比分析

摘要

Objective:To analyse the clinical effect of gneral anesthesia and epidural anesthesia method used on cesarean delivery.Method:200 cases of parturien who deliveryed used cesarean section were randomly selected from August 2011 to February 2013,and divided into observation group、control group,each group used general anesthesia and epidural anesthesia respectively,then compared basic conditions of operation,preoperative、postoperative changes in vital signs,umbilical vein and umbilical arterial blood gas of newborn neonatal Apgar score and anesthetic adverse conditions of two groups. Result:The observation group on anesthesia to fetal childbirth time and operation time were all relatively less than the control group,and the observation group on vital signs of parturien was more stable before and after surgery,neonatal umbilical vein and umbilical arterial blood gas were relatively higher. the observation group was more apparent on the overall effect than the control group,there was statistical significance(P<0.05). There were no difference between the two groups on the neonatal Apgar score and anesthetic adverse situation(P>0.05). Conclusion:The overall effect is more obvious by using general anesthesia way in cesarean delivery,and more conducive to health and safety of maternal and child,the clinical can promote widely.%　　目的：分析剖宫产中全麻与硬膜外麻醉两种方法的临床效果。方法：随机选取2011年8月-2013年2月行剖宫产术的产妇200例，分为观察组、对照组，分别采用全麻和硬膜外麻醉方式，对比两组手术基本情况、术前术后生命体征变化、新生儿脐静脉和脐动脉血气、新生儿 Apgar 评分与麻醉不良情况。结果：观察组麻醉至娩出胎儿时间以及手术时间较对照组均相对更少，术前术后产妇的生命体征更稳定；新生儿脐静脉与脐动脉血气均相对更高；观察组较之对照组效果更明显，具有统计学意义（P<0.05）。新生儿 Apgar 评分与麻醉不良情况两组差异无统计学意义（P>0.05）。结论：剖宫产中采用全麻方式整体效果更明显，更利于母婴的健康安全，值得临床推广。