不同麻醉方法在古典式剖腹产术式中应用的对比观察

摘要

Objiective Discusses the different anaesthesia method to anaesthetize the effect in the classical-like influence. Methods Choose the classical-like Caesarean birth technique type 120 examples,60 cases with epidural anesthesia(EPS) , 60 cases of combined spinal-epidural anesthesia ( CESA ),the contrast observes two anaesthesia menthods in classical-like Caesarean birth technique in the formula to the parent substance,the embryo and the anesthesia effect influence.Results The anaesthesia effect difference CESA group is short obviously in the EPS group,the group the comparison difference has statistics significance(P < 0.01),the CESA group,s anaesthesia time,takes the embryo time,the surgery time short in the EPS group,the group the comparison difference has statistics significance(P <0.01),in the technique the parturient woman,the embryo situation two groups do not have the significance difference,nun-statistics significan (P >0.05).Conclusion CESA and implements EPS to compare purely application contrast observation obtains in the classical-like Caesarean birth technique,CESA in classical-like Caesarean birth technique in the formula application,can improve the surgery doctor,s operating condition obviously,moreover can enhance the parturient woman and family member,s satisfaction rate,is one anaesthesia method which on clinical is worth promoting vigorously.%　　目的探讨不同麻醉方法在古典式剖腹产术中对母体、胎儿麻醉效果的影响，为古典式剖宫产术式采取何种麻醉方法更为优越提供理论依据。方法选择古典式剖宫产术式120例，其中60例采用硬膜外麻醉（EPS），60例采用腰-硬联合麻醉（CESA），对比观察两种麻醉方法在古典式剖宫产术式中对母体、胎儿及麻醉效果的影响。结果麻醉效果差者CESA组明显少于EPS组，组间比较差异具有统计学意义（P ＜0.01），CESA组的麻醉时间，取胎时间，手术时间均短于EPS组，组间比较差异具有统计学意义（P ＜0.01），术中产妇、胎儿情况两组均无显著性差异，无统计学意义（P ＞0.05）。结论腰-硬联合麻醉与单纯实施硬膜外麻醉相比在古典式剖宫产术中的应用对比观察得出，腰-硬联合麻醉在古典式剖宫术式中的应用，能够明显改善手术医生的操作条件，而且能够提高产妇及其家属的满意率，是临床上值得大力推广的一种麻醉方法。