腰硬联合麻醉在不同体位剖宫产产妇中实施效果及对新生儿影响
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摘要
目的分析在不同体位剖宫产产妇中应用腰硬联合麻醉的效果以及对新生儿的影响。方法选取本院行剖宫产的90例产妇为本次研究对象,根据产妇腰硬联合麻醉后采取的不同体位分为两组,分别为坐位组、侧卧位组,观察两组效果及对新生儿的影响。结果组间麻醉前后5min生命体征变化情况对比,麻醉前5min,两组产妇的心率、收缩压、舒张压情况对比无显著差异(P> 0.05);麻醉后5min,坐位组心率、收缩压、舒张压水平均比侧卧位组低,坐位组生命体征水平优于侧卧位组;坐位组新生儿并发症发生率低于侧卧位组;坐位组麻醉起效时间短于侧卧位组,两组对比均差异显著具有统计学意义(P <0.05)。结论在剖宫产产妇腰硬联合麻醉中,采用坐位麻醉可以减少麻醉对产妇的影响,坐位麻醉更有利于产妇生命体征水平保持稳定,减少血流动力学波动,并且实施坐位腰硬联合麻醉还可以在一定程度上降低新生儿并发症的发生。
Objective To analyze the effect of combined spinal-epidural anesthesia(CSEA) on cesarean section women in different postures and its influence on neonates. Methods Ninety parturients who underwent caesarean section in our hospital were selected as the research object. According to the different postures taken by parturients after combined spinal-epidural anesthesia, they were divided into two groups: sitting position group and lateral position group. The effects of the two groups and their effects on newborns were observed. Results The changes of vital signs in 5 minutes before and after anesthesia were compared between the two groups. There was no significant difference in heart rate, systolic blood pressure and diastolic blood pressure between the two groups 5 minutes before anesthesia(P > 0.05); 5 minutes after anesthesia, the heart rate, systolic blood pressure and diastolic blood pressure in the sitting group were lower than those in the lateral position group, and the vital signs in the sitting group were better than those in the lateral position group. The difference was obvious(P < 0.05).The incidence of neonatal complications was 4.4% in sitting position group and 11.1% in lateral position group. There was a significant difference between the two groups(P < 0.05). The onset time of the anesthesia in the sitting group was significantly shorter than that in the lateral position group, and the difference was significant(P < 0.05). Conclusion In combined spinalepidural anesthesia for cesarean section women, sitting anesthesia can reduce the influence of anesthesia on parturients. Sitting anesthesia is more conducive to the stabilization of vital signs of parturients and the reduction of hemodynamic fluctuations,and the implementation of combined spinal-epidural anesthesia in sitting position can also reduce the incidence of neonatal complications to It is worth promoting.
Objective To analyze the effect of combined spinal-epidural anesthesia(CSEA) on cesarean section women in different postures and its influence on neonates. Methods Ninety parturients who underwent caesarean section in our hospital were selected as the research object. According to the different postures taken by parturients after combined spinal-epidural anesthesia, they were divided into two groups: sitting position group and lateral position group. The effects of the two groups and their effects on newborns were observed. Results The changes of vital signs in 5 minutes before and after anesthesia were compared between the two groups. There was no significant difference in heart rate, systolic blood pressure and diastolic blood pressure between the two groups 5 minutes before anesthesia(P > 0.05); 5 minutes after anesthesia, the heart rate, systolic blood pressure and diastolic blood pressure in the sitting group were lower than those in the lateral position group, and the vital signs in the sitting group were better than those in the lateral position group. The difference was obvious(P < 0.05).The incidence of neonatal complications was 4.4% in sitting position group and 11.1% in lateral position group. There was a significant difference between the two groups(P < 0.05). The onset time of the anesthesia in the sitting group was significantly shorter than that in the lateral position group, and the difference was significant(P < 0.05). Conclusion In combined spinalepidural anesthesia for cesarean section women, sitting anesthesia can reduce the influence of anesthesia on parturients. Sitting anesthesia is more conducive to the stabilization of vital signs of parturients and the reduction of hemodynamic fluctuations,and the implementation of combined spinal-epidural anesthesia in sitting position can also reduce the incidence of neonatal complications to It is worth promoting.
引文
[1]钟影,汤琼瑶,薛祥庆.腰硬联合麻醉下剖宫产术中产妇不同体位干预的效果观察[J].现代临床护理,2018,17(07):45-48.
[2]郑光军,廖小杰,袁宝换,等.腰硬联合麻醉在不同体位剖宫产中的实施效果及对新生儿的影响[J].现代医院,2017,17(09):1372-1373,1376.
[3]施如光,陈慧姻,李如洁.腰硬联合麻醉中不同麻醉体位对剖宫产产妇及其新生儿的影响分析[J].中医临床研究,2017,9(21):147-148.
[4]方健,肖彬,罗崇彬.剖宫产术不同体位对等比重布比卡因腰硬联合麻醉起效时间及麻醉平面的影响[J].中国药业,2016,25(14):26-29.
[5]夏书江,郭春年,夏晓琼.不同体位腰硬联合麻醉对剖宫产产妇麻醉平面及血流动力学的影响[J].安徽医药,2014,18(10):1974-1976.
[6]王天文,谭国芳.不同体位腰硬联合麻醉在剖宫产中的综合效果观察[J].海南医学,2011,22(11):67-69.
[2]郑光军,廖小杰,袁宝换,等.腰硬联合麻醉在不同体位剖宫产中的实施效果及对新生儿的影响[J].现代医院,2017,17(09):1372-1373,1376.
[3]施如光,陈慧姻,李如洁.腰硬联合麻醉中不同麻醉体位对剖宫产产妇及其新生儿的影响分析[J].中医临床研究,2017,9(21):147-148.
[4]方健,肖彬,罗崇彬.剖宫产术不同体位对等比重布比卡因腰硬联合麻醉起效时间及麻醉平面的影响[J].中国药业,2016,25(14):26-29.
[5]夏书江,郭春年,夏晓琼.不同体位腰硬联合麻醉对剖宫产产妇麻醉平面及血流动力学的影响[J].安徽医药,2014,18(10):1974-1976.
[6]王天文,谭国芳.不同体位腰硬联合麻醉在剖宫产中的综合效果观察[J].海南医学,2011,22(11):67-69.