|
|
|
| Effect of combined spinal and epidural anesthesia in different positions during cesarean section of women and its impact on the newborns |
| 1. The First Affiliated Hospital of Anhui Medical University(Feidong County People's Hospital), Hefei, Anhui Province, 231600；2. Bengbu First People's Hospital of Anhui Province |
|
|
|
|
Abstract To explore the effect of combined spinal and epidural anesthesia in different positions during cesarean section, and to study its impact on the newborns. Methods: 90 full term pregnant women who wanted elective cesarean section from July 2020 to July 2022 were randomly divided into group A(45 cases with sitting position of lumbar anesthesia epidural anesthesia puncture) and group B(45 cases with lying position of lumbar anesthesia epidural anesthesia puncture). The anesthesia effect, the hemodynamic indicators values, the adverse reactions rate, and the neonatal outcomes of the women were compared between the two groups. Results: The total amount of ephedrine(8.5±1.5mg) of the women in group A was significantly lower than that(10.3±1.8mg) of the women in group B, and the time of ephedrine reached to T5(9.4±2.7min) and the time of ephedrine reached to the final block plane(12.7±2.9min) of the women in group A were significantly shorter than those(13.8±2.7min and 16.5±3.1min) of the women in group B. The analgesic effect of the women in group A was significantly better than that of the women in group B, the hemodynamic indexes values after anesthesia of the women in group A were significantly better than those of the women in the group B. The overall incidence of postoperative nausea, vomiting, headache, hypotension and postpartum hemorrhage(15.6%) of the women in group A was significantly lower than that(35.6%) of the women in group B(P＜0.05), and there were no significant differences in the neonatal asphyxia and the neonatal 5min Apgar score after birth between the two groups(P>0.05). The neonatal umbilical arterial blood pH value(7.32±0.05) of the women in group A was significantly higher than that(7.27±0.09) of the women in group B(P＜0.05). Conclusion: The anesthesia effect and the hemodynamic indicators values of the sitting position for combined spinal and epidural anesthesia puncture during cesarean section are better than those of the lying position puncture, with less postoperative adverse reactions of the women and without significant influence on the newborns.
|
|
|
|
|
|
|
|
|
