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为了探讨腰硬联合麻醉(CSEA)在高龄产妇剖宫产手术中的麻醉效果及对产妇血流动力学指标的影响,本研究选取2016年1月至2016年9月拟在我院实施剖宫产手术的高龄产妇98例,随机分为研究组(CSEA方法进行麻醉)和对照组(硬膜外麻醉),每组各49例。通过比较两组产妇在不同时间点的血流动力学指标及相关指标,本研究发现,在T0、T1时刻,研究组和对照组的HR、SBP、DBP、CO、SV监测值无明显差异(p>0.05);在T2、T3、T4时刻,研究组和对照组的HR、CO、SV监测值比较,差异均无明显变化(p>0.05);在T2时刻,研究组的SBP、DBP测定值明显高于对照组(p<0.05);在T1、T2时刻,两组产妇的HR、SBP、DBP与本组T0时刻比较,差异具有统计学意义(p<0.05);研究组麻醉效果2级(24.49%)、3级(75.51%),对照组麻醉效果1级(6.12%)、2级(38.78%)、3级(55.10%),研究组的麻醉效果要明显优于对照组(p<0.05)。我们的研究表明,CSEA在高龄产妇剖宫产手术中具有更好的麻醉效果,引起的血流动力学波动小。
Abstract：To investigate the anesthesia effect of spinal epidural anesthesia(CSEA) on cesarean section in elder mothers and its effect on the hemodynamics of the mothers, A total of 98 elderly pregnant women scheduled for cesarean section in our hospital from January 2016 to September 2016 were randomly divided into study group(CSEA method) and control group(epidural group), 49 Cases, compared two groups of maternal blood flow at different time points and related indicators of hemodynamic indicators. The results showed that there was no significant difference in the monitoring values of HR, SBP, DBP, CO and SV between the study group and the control group at T0 and T1(p>0.05). At T2, T3 and T4,(p>0.05). At T2, the values of SBP and DBP in the study group were significantly higher than those in the control group(p<0.05). At T1 and T2, both groups showed no significant difference. The differences of HR, SBP and DBP between the two groups were statistically significant(p<0.05). In the study group, the anesthesia effect of the study group Grade 2(24.49%), Grade 3(75.51%) was significantly higher than that of the control group Grade 1(6.12%), Grade 2(38.78%), Grade 3(55.10%), The study group's anesthesia was significantly better than the control group(p<0.05). CSEA has better anesthetic effects in cesarean section in older mothers and low hemodynamic fluctuations.
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基本信息:
DOI：10.13417/j.gab.037.001799
中图分类号:R614
引用信息:
[1]任静,岳婷,许萍.CSEA用于高龄产妇剖宫产术的麻醉效果及对血流动力学的影响[J].基因组学与应用生物学,2018,37(04):1799-1805.DOI:10.13417/j.gab.037.001799.
基金信息:
河北生殖妇产医院资助
2018-04-25
2018-04-25