三种麻醉方式用于剖宫产手术的比较.docVIP

三种麻醉方式用于剖宫产手术的比较 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：三种麻醉方式用于剖宫产手术的比较 1 1 资料与方法 2 2 结果 3 文2：三种麻醉方式在阴式全子宫切除术中的应用比较 5 1资料与方法 5 参考文摘引言： 7 原创性声明（模板） 8 文章致谢（模板） 9 正文 三种麻醉方式用于剖宫产手术的比较 文1：三种麻醉方式用于剖宫产手术的比较 ［Abstract］ Objective To compare the single epidural anesthesia,combined spinal-epidural anesthesia,the continuous epidural anesthesia for cesarean 240 cases with emergency operation were randomly divided into three Ⅰ was single epidural（n=80）,group Ⅱ was combined spinal-epidural anesthesia （n=80）,group Ⅲ was the continuous epidural anesthesia（n=80）.Interoperation mean arterial pressure（MAP）,heart rate（HR）,pulseoxygeaturation（SpO2） were observed,the anesthesia effect,start effect time,local anesthesia dosage,introoperation,postoperation complicatio were The MAP,HR,SpO2 were no significant difference in the three Ⅰ patients were the best in the anesthesia effect,the satisfaction rate was 100%,the seconds was group Ⅱ,the most slow was group Ⅲ.Group Ⅲ and group Ⅰ,Ⅱ had significant local anesthesia dosage in group Ⅱ was the minimal,the complication in group Ⅰ had the low blood pressure for 4 cases,group Ⅱ had 12 cases,nausea and vomiting had 4 cases,headache had 9 cases,group Ⅲ had the low blood pressure for 5 cases,nausea and vomition had 1 case,whole spinal anesthesia did not occur in three Single epidural anesthesia is the best method for cesarean section. ［Key words］ single epidural anesthesia； combined spinal-epidural anesthesia；continuous epidural anesthesia;cesarean section 笔者针对单次硬膜外麻醉用于剖宫产手术的效果探讨如下。 1 资料与方法 一般资料 选择2007年7月～2008年1月的急诊行剖宫产手术的患者240例。年龄20～38岁，体重54～102 kg,平均78 kg。无严重心、肺、肝肾功能异常疾患。ASA分级Ⅰ～Ⅱ级。随机分为三组，Ⅰ组为单次硬膜外组，Ⅱ组为腰-硬联合麻醉组，Ⅲ组为连续硬膜外组。所有患者入室后均常规面罩吸氧，流量为3 L/min，连接监测仪，术中监测平均动脉压（MAP）、心率（HR）、血氧饱和度（SpO2），记录手术前、后5、10、30 min、手术结束的各项值。并记录术中、术后72 h内发生的并发症。血压低于术前20%～30%时，加快输液，用麻黄素提升血压至正常水平，心率低于60次/min时，加用阿托品。 麻醉方法 患者入室后，开放静脉，输液为平衡液、血定安，总量约1500～2000 ml。签署手术麻醉同意书。全部患者均采用腰-硬联合麻醉。患者取右侧卧位，选择进针间隙L2～3，消毒铺单，用16G硬膜外穿刺针斜面向上垂直皮肤进针，过黄韧带有突破感，回气试验阳性，Ⅰ组患者直