【摘要】 目的比较腰麻-硬膜外联合麻醉(CSEA)和硬膜外麻醉(EA)在急诊剖宫产术的临床效果。方法无妊娠合并症的80例产妇,随机分为CSEA组和EA组。观察两组病例的阻滞情况、镇痛和肌松情况、不良反应和新生儿评分情况。结果CSEA起效快,运动阻滞效果好,镇痛和肌松效果好,不良反应少,与EA比较差异均有统计学意义(P<0.05),新生儿评分两组间差异均无统计学意义(P>0.05)。结论CSEA可为产科手术提供快速、良好的止痛和肌松,是目前产科手术理想的麻醉方法。更多还原

【Abstract】 Objective To compare clinical effect of combined spinal-epidural anesthesia(CSEA)and epidural anesthesia(EA)in emergency cesarean section.Methods Taking 80 pregnat women who are required emergency cesarean section surgery.They are randomly divided into two groups equally for CSEA and EA to observe the status of black analgesia,muscle relaxation,adverse effect and neonatal Apgar score.Results It’s effective in a short period of CSEA,with better motor block and analgesia,muscle relaxation.There’s significance different in adverse effect(P<0.05),and no difference in Apgar(P>0.05)between two groups.Conclusion It’s an ideal anesthesisa method for obstetrics with CSEA,which is rapid effect,and with good analyesia and muscle relaxation.更多还原