单点穿刺法腰硬联合麻醉在剖宫产围术期的应用

目的: 探讨单点穿刺法腰硬联合麻醉在剖宫产围术期应用的价值。方法: 选择22例剖宫产产妇,应用单点穿刺法腰硬联合麻醉,观察其临床效果,并与硬膜外麻醉方法对比分析。结果: 所有产妇麻醉起效快,肌松满意;血压、心率、脉搏、血氧饱和度变化平稳,新生儿Apgar评分8~10分,术后硬膜外镇痛满意,无头痛并发症。结论: 单点穿刺法腰硬联合麻醉在剖宫产围术期应用很有价值,但具体实施和管理有其特殊性。

Single-point technique in combined spinal and epidural anesthesia for22 patients with cesarean section

Objective:To observe the efficacy of combined spinal and epidural anesthesia in single-point technique used in the patients undergoing cesarean section.Methods:Twenty-two puerperas undergoing cesarean section received combined spinal and epidural anesthesia in single-point technique.All patients received postoperative epidural analgesia.Results:All patients showed satisfactory anesthesia.Little change of blood pressure,the heart rate,the respiration rate,the pulse and the saturation oxygen were found respectively.Apgar score of neonates:8-10.All patients were followed-up for 48 hours to observe postoperative analgesia,and no side effects were found.Conclusions:The method is good for the patients undergoing cesarean section,but the anesthetic administering has its particularity in practice.