剖宫产手术硬―腰联合麻醉临床效果的研究.docVIP

剖宫产手术硬―腰联合麻醉临床效果的研究 　　[摘要] 目的 分析和研究硬-腰联合麻醉在剖宫产妇女手术中的应用效果。 方法 选取该院采用剖宫产术结束分娩的111例产妇作为研究对象，经征得患者同意分成对照组和观察组，对照组采用硬膜外麻醉，观察组采用硬-腰联合麻醉，然后将两组的麻醉效果进行对比。 结果 观察组麻醉显效时间为（48±11）s，明显早于对照组；观察组低血压发生率为17.9%，明显高于对照组；观察组患者麻醉的总优良率为91.1%，明显高于对照组，该两组患者的麻醉优良率对比，差异有统计学意义（P0.05）。 结论 对于剖宫产手术患者，给予硬-腰联合麻醉具有麻醉起效快和效果好等优点，只要控制好患者的血压，是可以推行的麻醉方案。 　　[关键词] 硬-腰联合麻醉；剖宫产；妇产科麻醉 　　[中图分类号] R614 [文献标识码] A [文章编号] 1674-0742（2015）06（a）-0065-02 　　Clinical Effect of Waist Hard Joint Anesthesia Used in Cesarean Section 　　ZHANG Yan-hua 　　Department of Anaesthesia， MCH Hospital of Zhengzhou City， Zhengzhou， Henan Province， 450008 China 　　[Abstract] Objective To analyze the clinical effect of waist hard joint anesthesia used in cesarean section.Methods Choose our end of cesarean section delivery of 111 cases of maternal as the research object， with the approval of the consent of the patients were divided into control group and observation group， control group adopts epidural anesthesia， observation group the hard - waist joint anesthesia， and then compare two sets of anesthetic effect. Results Observation group anesthesia for （48 + 11） s were markedly improved， obviously earlier than the control group； Hypotension incidence was 17.9%， the observation group was obviously higher than that of control group. Observation group of patients with total anesthesia was 91.1%， significantly higher than the control group， the anesthesia was compared two groups of patients， there are significant differences （P 0.05）. Conclusion Waist hard joint anesthesia for patients receiving cesarean section surgery， with the advantages of fast and good effect ， is feasible based on the good control of blood pressure. 　　[Key words] Waist hard joint anesthesia； Cesarean section； Gynecology and obstetrics anesthesia 　　伴随着社会经济和孕妇心理等多方面因素变化的影响，我国的剖宫产率呈现出逐年上升的趋势[1]。这虽然能够在缩短孕妇分娩时间，减少分娩痛苦等方面发出积极的作用，但是同时又对于麻醉方式与麻醉的效果提出了更高更严的要求，另外，还必须综合地考虑到麻醉用药可能对于胎儿产生的影响[2]。该院自2013年9月，在剖宫产术中，使用硬腰联合麻醉技术，结果表现出麻醉起效较快、镇痛肌松较为完善和可控性较好的优点，弥补了单纯腰麻与连续硬膜外麻醉的缺陷，效果较