| 硬-腰联合麻醉用于新式剖宫产术中的观察 |
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| 引用本文： | 余燕云,徐志勇,张文娟,施勤.硬-腰联合麻醉用于新式剖宫产术中的观察[J].东南大学学报(医学版),2003,22(6):396-398. |
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| 作者姓名： | 余燕云 徐志勇 张文娟 施勤 |
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| 作者单位： | 无锡市妇幼保健院,麻醉科,江苏无锡,214002 |
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| 摘 要： | 目的比较硬-腰联合麻醉(CSEA)与硬膜外阻滞麻醉(EA)在新式剖宫产术中应用的效果.方法健康足月妊娠产妇2089例,随机分为EA组(1193例)和CSEA组(896例),比较两种麻醉方法的麻醉效果.结果CSEA组阻滞平面达T6的时间、麻醉诱导至胎儿娩出时间、手术至胎儿娩出时间均短于EA组(P<0.05),镇痛效果、肌肉松弛满意率均优于EA组,但低血压发生率高于EA组(P<0.05).结论CSEA用于新式剖宫产术起效快、阻滞完善,但要防范低血压的发生.
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| 关 键 词： | 硬—腰联合麻醉 新式剖宫产 硬膜外阻滞麻醉 足月妊娠 低血压 镇痛 |
| 文章编号： | 1671-6264(2003)06-0396-03 |
| 修稿时间： | 2003年4月10日 |
Effect of combined spinal epidural analgesia in Misgav Ladach cesarean section |
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| YU Yan-yun,XU Zhi-yong,ZHANG Wen-juan,SHI Qin.Effect of combined spinal epidural analgesia in Misgav Ladach cesarean section[J].Journal of Southeast Univ: Medical Sci Ed,2003,22(6):396-398. |
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| Authors: | YU Yan-yun XU Zhi-yong ZHANG Wen-juan SHI Qin |
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| Abstract: | Objective To compare the effect of combined spinal epidural analgesia(CSEA)with that of epidural analgesia(EA) in Misgav Ladach cesarean section.Method 2-098 healthy mature pregnant women were randomly assigned to CSEA group(n=1-193)and EA group(n=896). Results The durations from anesthetic induction to delivery were shorter in CSEA group than in EA group(P<0.05). The effects of analgesia and muscular relaxation were better in CSEA group than in EA group. But the incidence of hypotension was higher in CSEA group than in EA group(P<0.05).Conclusion The effect of CSEA in Misgav Ladach cesarean section is better than that of EA, but hypotension should be prevented in CSEA. |
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| Keywords: | combined spinal epidural analgesia epidural analgesia cesarean section |
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