■剖宫产的数量每年都在增加,而产科麻醉因其特殊性而备受内科医生和研究学者的关注,高风险,并发症发生率高。
■探讨剖宫产术中不同椎间隙的腰硬联合麻醉(CSEA)对麻醉效果的影响,麻醉开始时间,麻醉恢复时间,产妇不良反应,和新生儿。
选择2022年9月至2023年2月在我院行剖宫产的92例妇女作为研究对象,随机分为A组和B组。每组46名妇女。A组通过L2-3间隙进行CSEA,B组通过L3-4间隙穿刺进行CSEA。麻醉效果,麻醉开始时间,感官恢复时间,不利影响,比较两组新生儿Apgar评分。
■当从L2-3进行CSEA时,麻醉效率更高,但差异无统计学意义。当通过L2-3穿刺进行麻醉时,麻醉的开始和恢复时间更短,术中产妇恶心呕吐的发生率,低血压,呼吸抑制,其他不良反应较低,差异有统计学意义。然而,两组新生儿Apgar评分无差异。
■当通过L2-3间隙诱导CSEA时,麻醉起效快,更短的恢复时间,很少有产妇的不良反应,而不影响最终的麻醉结果。
UNASSIGNED: The number of cesarean sections performed is increasing every year, and obstetric anesthesia is of great interest to physicians and research scholars because of its specificity, high risk, and high complication rate.
UNASSIGNED: To investigate the effects of combined spinal epidural anesthesia (CSEA) with different intervertebral spaces during cesarean section on anesthesia effect, anesthesia onset time, anesthesia recovery time, maternal adverse reactions, and neonates.
UNASSIGNED: Ninety-two women who underwent cesarean section in our hospital from September 2022 to February 2023 were selected as the study subjects and randomly divided them into two groups (group A and group B), 46 women in each group. Group A underwent CSEA via an L2-3 gap and group B underwent CSEA via an L3-4 gap puncture. The anesthesia effect, anesthesia onset time, sensory recovery time, adverse effects, and neonatal Apgar score were compared between the two groups.
UNASSIGNED: When CSEA was performed from L2-3, the anesthesia efficiency was higher, but the difference was not statistically significant. When anesthesia was performed by puncture from L2-3, the onset of anesthesia and recovery time was shorter, and the incidence of intraoperative maternal nausea and vomiting, hypotension, respiratory depression, and other adverse reactions was low with a statistically significant difference. However, the Apgar scores of the neonates in the two groups have no difference.
UNASSIGNED: When CSEA is induced via L2-3 interspace, anesthesia has a rapid onset of action, shorter recovery time, and few maternal adverse effects, without affecting the final anesthetic outcome.