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Effect of epidural anesthesia in labor; pregnancy with cardiovascular disease

机译:硬膜外麻醉对分娩的影响;妊娠合并心血管疾病

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Objective We studied the effect and safety of epidural anesthesia during labor in pregnant women with cardiovascular disease. Materials and methods In the pregnant women with cardiovascular disease, we compared maternal outcome and suppressive effect on blood pressure retrospectively between the epidural group (anesthetized epidurally during labor) and the no-epidural group (not anesthetized epidurally during labor). Results A total of 277 patients were included in the analyses. Cardiovascular events decreased significantly in epidural group (P?
机译:目的研究硬膜外麻醉对心血管疾病孕妇的分娩效果和安全性。材料和方法在患有心血管疾病的孕妇中,我们回顾性比较硬膜外组(分娩时硬膜外麻醉)和非硬膜外组(分娩时硬膜外麻醉)的母亲结局和对血压的抑制作用。结果共纳入277例患者。硬膜外组心血管事件明显减少(P <0.05)。心血管事件发生在12例(硬膜外组)和2例(非硬膜外组)中(P <0.05)。心血管事件是与心律不齐相关的所有事件。在硬膜外组中,收缩压未显示劳动量增加(110.5mmHg,95%CI;95-132μmmHg,而110mmHg,95%CI;91-130μHg)。在非硬膜外组中,分娩时收缩压升高(107?1?mmHg,95%CI; 96–138?mmHg与123?mmHg,95%CI; 105–153?mmHg; P ? 0.05)。结论硬膜外麻醉可减少与心律不齐相关的心血管事件,并具有明显抑制心血管疾病孕妇分娩时血压升高的作用。在患有心血管疾病的孕妇中,可能在分娩时进行硬膜外麻醉。

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