三种麻醉方式在剖宫产术中的效果比较及对胎儿的影响

目的比较单纯硬膜外麻醉、腰麻-硬膜外联合麻醉和全身麻醉在剖宫产术的麻醉效果及对胎儿的影响。方法将本院行剖宫产的210例孕妇分为E组（单纯硬膜外麻醉）、C组（腰麻-硬膜外联合麻醉）和I组（静脉麻醉）,比较三组麻醉起效时间、麻醉阻滞效果、新生儿Apgar评分和NBNA评分以及不良反应。结果三组麻醉起效时间从慢到快依次为E组、C组和I组,差异有统计学意义（P〈0.05）;E组Bromage评分显著低于C组与I组（P〈0.05）,C组与I组比较差异无统计学意义（P〉0.05）;三组新生儿Apgar评分、NBNA评分和不良反应发生率比较,差异无统计学意义（P〉0.05）。结论腰麻-硬膜外联合麻醉起效时间短,麻醉效果佳,是剖宫产的理想麻醉方法,三组麻醉方法对新生儿均无不良影响。

Effect comparison of three anesthesia methods in caesarean section and its influence on infants

Objective To compare the effect of epidural anesthesia,combined spinal-epidural anesthesia and general anesthesia in caesarean section and its influence on infants.Methods 210 pregnant women were divided into group E(epidural anesthesia),group C(combined spinal-epidural anesthesia) and group I(general anesthesia) with 70 patients in each group.The onset time of anaesthesia,Apgar and NBNA scores of newborn and adverse reaction were compared between three groups.Results The onset time of anaesthesia in group E was much slower than that in group C and group I(P < 0.05);Bromage scores in group E were lower than group C and I(P < 0.05),but there was no significant difference in group C and I(P > 0.05);Apgar and NBNA scores of newborn and adverse reaction were no statistical difference among three groups(P > 0.05).Conclusion Combined spinal-epidural anesthesia is an ideal anesthesia method in caesarean with short onset time and a good effect.Three methods all have no influence for newborn.