医学临床研究
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医学临床研究  2020, Vol. 37 Issue (1): 9-11    DOI: 10.3969/j.issn.1671-7171.2020.01.004
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双侧腹横平面阻滞联合单次腰麻在剖宫产手术中的应用及对新生儿的影响
王占鹏, 贾珍
青海大学附属医院麻醉科,青海 西宁 810001
Application of Bilateral Abdominal Transverse Plane Block Combined with Single Lumbar Anesthesia in Cesarean Section and its Effect on Newborns
WANG Zhan-peng, JIA Zheng
Department of Anesthesiology,Affiliated Hospital of Qinghai University,Xiling,810001
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摘要 【目的】 探讨双侧腹横平面阻滞联合单次腰麻在剖宫产手术中的应用及对新生儿的影响。【方法】 行剖宫产分娩的产妇共66例,随机分为观察组(33例)和对照组(33例);对照组产妇使用常规腰硬联合麻醉配合硬膜外镇痛,观察组采用双侧腹横平面阻滞联合单次腰麻,比较不同麻醉方式对剖宫产手术产妇和新生儿的影响。【结果】 观察组产妇剖宫产术后3 h、6 h、9 h、12 h、24 h的VAS评分均明显低于对照组,且两组相比较差异有显著性(P<0.05)。观察组产妇术中和术后总并发症发生率为9.09%(3/33),明显低于对照组的33.33%(11/33),且两组比较差异有显著性(P<0.05)。术后两组新生儿pH值、氧分压、二氧化碳分压、血氧饱和度等血气指标比较差异无显著性(P>0.05)。【结论】 双侧腹横平面阻滞联合单次腰麻应用于剖宫产手术中效果显著,能明显降低麻醉药物用量,减少产妇术后疼痛,并发症和不良反应率低,安全性高,值得推广应用。
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王占鹏
贾珍
关键词 神经肌肉阻滞剖宫产术麻醉,硬膜外    
Abstract【Objective】To investigate the application of bilateral abdominal transverse block combined with single spinal anesthesia in cesarean section and its effect on neonates.【Methods】A total of 66 maternal women who underwent cesarean delivery in our hospital were randomly divided into experimental group (33 cases) and control group (33 cases). The control group was given routine combined spinal epidural anesthesia and epidural analgesia. The experimental group was treated with bilateral transverse plane block combined with single spinal anesthesia. The effects of different anesthetic methods on cesarean section and neonatal were compared. 【Results】The VAS scores of the observation group were significantly lower than that of the control group at 3, 6, 9, 12 and 24 hours after cesarean section, and there was a significant difference between the two groups (P<0.05). The total complication rate of the observation group was 9.09% (3/33), which was significantly lower than that of the control group 33.33% (11/33), and there was significant difference between the two groups (P<0.05).There was no significant difference in blood gas indexes such as PH, partial pressure of oxygen, partial pressure of carbon dioxide and saturation of oxygen between the two groups after operation (P>0.05).【Conclusion】 The application of bilateral abdominal transverse plane block combined with single lumbar anesthesia in cesarean section has a significant effect, which can significantly reduce the dosage of narcotic drugs, reduce the postoperative pain of puerpera, and has a low rate of complications and adverse reactions. It is safe and reliable to use, which is worth popularizing.
Key wordsNeuromuscular blockade    Cesarean section    Anesthesia,General
收稿日期: 2018-04-11     
PACS:  R714.462  
基金资助:青海省自然科学基金(编号:2016-ZJ936Q)
引用本文:   
王占鹏, 贾珍. 双侧腹横平面阻滞联合单次腰麻在剖宫产手术中的应用及对新生儿的影响[J]. 医学临床研究, 2020, 37(1): 9-11.
WANG Zhan-peng, JIA Zheng. Application of Bilateral Abdominal Transverse Plane Block Combined with Single Lumbar Anesthesia in Cesarean Section and its Effect on Newborns. JOURNAL OF CLINICAL RESEARCH, 2020, 37(1): 9-11.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2020.01.004     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2020/V37/I1/9
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