腰麻联合硬膜外麻醉在新式剖宫产中的应用

选择60例剖宫产产妇随机分为两组 ,分别行腰麻联合硬膜外麻醉(Combinedspinal/epiduralanes thesia,CSEA)与连续硬膜外麻醉(Continuousepiduralanesthesia,CEA)。比较两种方法在新式剖宫产中的麻醉效果 ,副作用 ,对血流动力学的影响及新生儿Apgar评分。结果表明起效时间 ,局麻药用量 ,运动神经阻滞CSEA组优于CEA组 ,而不良反应 ,血流动力学变化 ,新生儿Apgar评分 ,两组无显著差异性。因此认为CSEA是新式剖宫产较合适的麻醉方法

The Use of CSEA and CEA in the New Type of Cesarean Section

Sixty cesarean section parturients were randomly divided into two groups, CSEA (combined spinal/eidural anesthesia) group and CES (continuous epidural anesthesia) group, 30 patients each. Their block effects, newborn Apgar scores and hemodynamic changes are compared. It shows that the CSEA group has lower anesthesia dosage and shorter onset time, more satisfying neuromascular block and higher blocking levels than the group CEA does. However,the side effects, the hemodynamic changes and the Apgar scores of the two groups are of no significant difference. CSEA is more suitable for the now type of cesarean section.