腰硬联合麻醉与硬膜外麻醉在剖宫产术中麻醉效果观察.docVIP

精品论文 参考文献 腰硬联合麻醉与硬膜外麻醉在剖宫产术中麻醉效果观察 （宜宾市翠屏区妇幼保健院 四川 宜宾 644000） 　　【摘要】 目的：探究腰硬联合麻醉与硬膜外麻醉在剖宫产术中麻醉的效果。方法：对我院2014年7月到2016年4月间接收的80例剖宫产患者进行麻醉，征得患者同意后，按照随机序号法将患者分为对照组和观察组，对照组采用硬膜外麻醉，观察组采用腰硬联合麻醉，观察两组效果并进行比较。结果：观察组治疗总有效率为100.0%，明显高于对照组的92.5%，结果有显著性差异（P＜0.05），差异具有统计学意义。观察组不良反应发生率为12.5％低于对照组27.5％，结果有显著性差异（P＜0.05），差异具有统计学意义。结论：腰硬联合麻醉与硬膜外麻醉在剖宫产术中麻醉的效果比较，腰硬联合麻醉有效率明显较高，同时不良反应较少，对于患者预后更加积极，因而值得我们在临床中借鉴使用。 　　【关键词】腰硬联合麻醉；硬膜外麻醉；剖宫产术中；麻醉的效果 　　【中图分类号】R614 【文献标识码】A 【文章编号】2095-1752（2016）35-0032-02 　　 　　【Abstract】 Objective To explore the combined spinal epidural anesthesia and epidural anesthesia in cesarean section effect. Methods in our hospital from July 2014 to April 2016 received 80 cases of patients with cesarean section anesthesia, patient consent, in accordance with the random number method, the patients were divided into control group and observation group, control group with epidural anesthesia, the observation group with combined spinal epidural anesthesia, observe and compare the effect of the two groups. Results The total effective rate of observation group was 100%, significantly higher than 92.5% in the control group. Results there was significant difference (P＜0.05), the difference was statistically significant. The observation group of adverse Reaction rate was 12.5% lower than that of control group 27.5%. Conclusion Combined spinal epidural anesthesia and epidural anesthesia in cesarean section in the effect of combined spinal epidural anesthesia was significantly higher at the same time, less adverse reactions, the prognosis for more positive, which is worthy of our reference in clinical use. 　　【Key words】 Combined spinal epidural anesthesia; Epidural anesthesia; Cesarean section; Anesthesia effect 　　剖宫产是临床中较为常见的一种手术，对于不具备顺产指征的产妇我们积极安排进行相应的手术助产，有利于保证母婴安全；但是在手术进行的过程中，容易出现多种并发症影响手术正常进行和患者顺利恢复，因此积极进行相关的麻醉干预，就成为关键所在。本次我们对我院2014年7月到2016年4月间接收的80例剖宫产患者进行麻醉，麻醉方式按照患者分组不同分别实施，旨在提高其临床麻醉效果，同时为相关研究提供参考，现将详细情况进行分析，报道如下。 　　1.资料和方法 　　1.1 一般