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| Analgesic effect of spinal-epidural anesthesia in different position of obese women during cesarean section and its influence on their hemodynamic and neonatal outcomes |
| Xinhua Hospital, Huainan Xinhua medical group, Huainan, Anhui Province, 232052 |
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Abstract To investigate the analgesics effect of spinal-epidural anesthesia in different position of obese women during cesarean section, and to study its influence on their hemodynamic and neonatal outcomes. Methods: 95 obese pregnant women who wanted cesarean section were selected and were divided into two groups according to the different puncture method and position during spinal-epidural anesthesia. 50 women in group A were treated with spinal-epidural anesthesia in the sitting position, while 45 women in group B were treated with spinal-epidural anesthesia in the lateral decubitus position. The clinical efficacy of the women was compared between the two groups. Results: The analgesic effect and muscle relaxation effect of the women in group A after anesthesia were significantly better than those of the women in group B, the improvement of the hemodynamic indexes of the women in group A was significantly better than that of the women in group B. The incidence of adverse reactions (6.0%) of the women in group A was significantly lower than that (20.0%) of the women in group B (all P<0.05). There was no significant difference in Apgar score (8.64±1.36 points vs.8.62±1.49 points) of newborns between the two groups (P>0.05). Conclusion: Spinal-epidural anesthesia in the sitting position for obese women during cesarean delivery has better analgesic effect, and which can improve the hemodynamic parameters and reduce the incidence of adverse effects of the women without affecting neonatal outcomes.
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