腰麻-硬膜外联合麻醉用于急诊剖宫产术的效果观察

目的探讨腰麻-硬膜外联合麻醉应用于急诊剖宫产术的安全性及临床效果观察。方法对50例需急诊剖宫产无妊娠合并症的产妇随机分组施行腰麻-硬膜外联合麻醉和硬膜外麻，每组25例，监测并记录BP、SpO2、EKG、HR，麻醉起效时间，麻醉阻滞效果，脊神经阻滞上界平面时间，新生儿Apgar评分及不良反应。结果腰麻-硬膜外联合麻醉起效时间和脊神经阻滞上界平面时间与硬膜外组比较，腰麻-硬膜外联合组时间短于连续硬膜外麻醉组（P〈0．01），腰麻．硬膜外联合组麻醉阻滞效果优于连续硬膜外麻醉组，2组新生儿评分及不良反应差异无显著性（P〉0．05）。结论腰麻．硬膜外联合综合腰麻和硬膜外麻的优点，具有诱导快、阻滞完善、对循环呼吸干扰少、母婴安全的优点，用于急诊剖宫产麻醉是安全可行的。

Efficacy investigation of combined spinal-epidural anesthesia in emergency cesarean section

Objective To investigate the safety of combined spinal-epidural anesthesia（CSEA） and observe its elinical effect in emergency cesarean section. Methods 50 cases were divided randomly into a CSEA group and a continuous epidural anesthesia （ CEA ） group, with 25 cases in each. Then their BP, SpO2, ECG, HR, the time of block analgesia, muscle relaxation, neonatal Apgar score, and side effect were observed and recorded. Results CSEA took effect in a shorter period compared with CEA. CSEA had a better motor block,analgesia and muscle relaxation effect. In addition,tbere was no statistical difference in Apgar score and side effect between the two groups. Conclusion CSEA possesses the advantages of both spinal anesthesia and CEA,with good analgesia and muscle relaxation effect. Thus CSEA is safe and feasible in emergency cesarean section.