|
|
|
| Anesthesia quality and safety of general anesthesia and epidural anesthesia during cesarean section of women with placenta previa |
| 1. Jinhua Central Hospital, Zhejiang Province, 321000；2. Lipu Town Central Health Station of Jindong District, Jinhua, Zhejiang Province |
|
|
|
|
Abstract To compare the anesthesia quality and safety between general anesthesia and epidural anesthesia during cesarean section of the women with placenta previa. Methods: The clinical data of 100 women who had undergone cesarean section due to placenta previa from January 2017 to August 2020 were selected in the research. These women were divided into 48 cases with general anesthesia in group A and 52 cases with epidural anesthesia in group B according to the different anesthesia methods. The anesthesia quality, the perioperative indicators, the hemodynamics indicators, the pregnancy outcomes, and the adverse reactions rate of the women were compared between the two groups. Results: There were significant different in the duration (2.75±0.54 min vs. 14.58±1.75 min) from anesthesia onset (matching the requirements of skin incision), the duration (10.68±1.88min vs. 21.84±2.38min) from the induction of anesthesia to fetal delivery, and the rate (95.8% vs. 80.8%) of excellent or good anesthesia during operation of the women between group A and group B (P＜0.05). The operative time, the intraoperative blood loss, the intraoperative infusion volume, the intraoperative blood transfusion volume, and the rate of vasopressor drugs used of the women in group A were significant higher than those of the women in group B (P＜0.05). There were no significant differences in heart rate (HR), the values of mean arterial pressure (MAP) and blood oxygen saturation (SpO2) of the women at T0, T1, T2, T3 and T4 between the two groups (P＞0.05). The HR value of the women in group A at T1, T2, T3, or T4 was significant higher than that of the women in group B, but the MAP value of the women in group A was significant lower (P＜0.05). The HR value of the women in group A or group B at T1, T2, T3, or T4 was significant higher than that at T0, and the MAP value of the women in group A or group B at T1, T2, T3, or T4 was significant lower than that at T0 (P＜0.05). There was no significant difference in the pregnancy outcomes of the women between the two groups (P＞0.05). The incidence of adverse reactions (25.0%) of the women in group A was significant higher than that (7.7%) of the women in group B (P＜0.05). Conclusion: Compared with that of epidural anesthesia, general anesthesia during cesarean section of the women with placenta previa works more quickly with better anesthesia effectiveness. But epidural anesthesia has less adverse influence on perioperative indicators and hemodynamics of the women than those of general anesthesia, and which also can effectively reduce the incidence of adverse reactions of the women. The two anesthesia methods both have less effect on the pregnancy outcomes of the women, so the anesthesia method should be rationally selected according to the condition of the women.
|
|
|
|
|
|
|
|
|
