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| Comparative study on the anesthesic effect and postoperative analgesia of the epidural anesthesia and the combined lumbar and epidural anesthesia during caesarean section |
| Suzhou Hospital of Integrated Tradtional Chinese and Western Medicine, Suzhou, Jiangsu Province, 215101 |
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Abstract To compare the anesthesic effect and the postoperative analgesia of the epidural anesthesia and the combined lumbar and epidural anesthesia during caesarean section of women. Methods: 92 pregnant women who wanted caesarean section were selected and were divided into control group (45 women with epidural anesthesia) and experimental group (47 women with combined epidural anesthesia) according to the anesthesia method during caesarean section from March 2021 to March 2023. The perioperative indexes values, the intraoperative anesthesia effect, the score of visual analogue scale (VAS) at postoperative 2h (T1), postoperative 5h (T2), postoperative 12h (T3), postoperative 1d (T4) or postoperative 2d (T5), the sedation score (Ramsay) and the adverse reactions rate of the women were compared between the two groups. Results: The operation time, the anesthesia time, and the fetal delivery time of the women in the experimental group were significantly shorter than those of the women in the control group. The proportion of the auxiliary drugs (42.6%) of the women in the experimental group was significantly lower than that (69.9%) of the women in the control group. The total effective rate of anesthesia (97.9%) of the women in the experimental group was significantly higher than that (86.7%) of the women in the control group. The VAS scores of the women in the experimental group at T1, T2, T3, T4 and T5 (5.43±1.01 points, 4.01±1.12 points, 3.81±1.23 points, 2.18±0.11 points and 1.46±0.12 points) were significantly lower than those (6.93±1.25 points, 5.96±1.91 points, 4.96±1.74 points, 2.78±0.38 points and 1.79±0.6 5 points) of the women in the control group. The postoperative Ramsay score of the women in the two groups had increased significantly, and which of the women in the experimental group at T1, T2, T3, T4 or T5 was significantly higher than that of the women in the control group. The incidence of adverse reactions (17.0%) of the women in the experimental group was significantly lower than that (42.2%) of the women in the control group (all P<0.05). Conclusion: The anesthesic effect of the combined lumbar and epidural anesthesia during caesarean section of the women is better than that of the epidural anesthesia, which can relieve the pain and decrease the adverse reaction of the women after caesarean section, and with certain safety.
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