| 改良连续硬膜外麻醉在剖宫产术中的应用 |
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| 引用本文： | 王光华,陈伟,冯缘,王健.改良连续硬膜外麻醉在剖宫产术中的应用[J].航空航天医药,2009,20(1). |
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| 作者姓名： | 王光华 陈伟 冯缘 王健 |
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| 作者单位： | 1. 四川中国燃气涡轮研究院职工医院,621703
2. 绵阳市中心医院 |
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| 摘 要： | 目的:观察改良连续硬膜外麻醉应用于剖宫产术的有效性和安全性.方法:选择ASAI～Ⅱ级剖宫产术60例,随机分为观察组和对照组.观察组:硬膜外穿刺成功后在硬膜外腔内向尾侧注入1.86%碳酸利多卡因5ml,然后将穿刺针斜口转向头侧,置入硬膜外导管并注射相同局部麻醉药10ml;对照组:硬膜外穿刺成功后向头侧置入硬膜外导管,按传统方法给药.观察记录两组产妇阻滞平面范围、术中疼痛强度及辅助用药情况,观察两组术中生命体征变化及胎儿娩出后Apgar评分.结果:观察组的阻滞范围明显比对照组宽,术中疼痛更轻微,辅助用药更少(P＜0.05);各项生命体征及胎儿Apgar评分组间比较无显著性差异.结论:改良连续硬膜外麻醉用于剖宫产术具有比传统方法更好的麻醉效果.
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| 关 键 词： | 硬膜外 麻醉 剖宫产 |
Application of modified continuous epidural anesthesia in caesarean section |
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| WANG Guanghua,CHEN Wei,FENG Yuan,WANG Jian.Application of modified continuous epidural anesthesia in caesarean section[J].Aerospace Medicine,2009,20(1). |
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| Authors: | WANG Guanghua CHEN Wei FENG Yuan WANG Jian |
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| Institution: | WANG Guanghua1,CHEN Wei2,FENG Yuan2,WANG Jian2 1.Department of anesthesiology,The Staff Hospital of China Gas Turbine Establishment,Jiangyou 621703,China,2.Mianyang Center Hospital,Mianyang 621000 |
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| Abstract: | Objective:To evaluate the anesthesia efficiency and safety of modified continuous epidural anesthesia in caesarean section.Methods:Sixty health full-term parturients undergoing cesarean section were randomly divided into two groups with thirty cases each:observation and control group.The patients in observation group were injected epidarally 1.86% lidocaine carbonate 2ml toward foot,then turn needle to head and placed epidural catheter.The same anesthetic 10ml were injected 5 minutes later.In controlled gro... |
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| Keywords: | epidural anesthesia caesarean section |
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