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| Effects of the spinal-epidural anesthesia of women with different positions during cesarean section on their anesthesia quality and neonatal outcomes |
| 1.School of Anesthesiology, Xuzhou medical university, Jiangsu Province, 221004；2.Wuxi Ninth People's Hospital；3.The Affiliated Hospital of Jiangnan University |
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Abstract To explore the effects of the spinal-epidural anesthesia of women with different positions during cesarean section on their anesthesia quality and neonatal outcome. Methods: A total of 110 pregnant women who wanted spinal-epidural anesthesia during cesarean section in the affiliated hospital of Jiangnan university were selected as the study subjects from January to December 2023. These women were divided into group A (55 cases with sitting for spinalepidural anesthesia) and group B (55 cases with lateral decubitus for spinal-epidural anesthesia). The hemodynamic indicators before and after anesthesia, the anesthesia quality and the neonatal outcomes of the women in the two groups were observed and recorded. Results: The changes of the values of HR (89.4±6.9 beats/min) and MAP (74.3±5.5 mmHg) after anesthesia of the women in group A were significantly better than those (94.3±7.5 beats/min and 69.0±6.4 mmHg) of the women in group B. The onset time of motor block (3.17±0.81 min), the onset time of sensory block (3.62±0.74 min), the time of reaching maximum Bromage motor block (12.78±1.92 min) and the time of reaching the highest level of anesthesia (10.65±1.38 min) of the women in group A were significantly shorter than those (4.39±0.93 min, 5.08±0.82 min, 14.39±2.13 min and 12.46±1.59 min) of the women in group B. The values of umbilical artery blood pH (7.35±0.08) and BE (-1.89±0.62) of the women in group A were significantly higher than those (7.28±0.14 and -2.45±0.78) of the women in group B (all P<0.05). There were no significant differences in the fetal heart rate, the rates of the fetal distress and neonatal asphyxia, and the neonatal Apgar score of the women between the two groups (P>0.05). Conclusion: The spinal-epidural anesthesia of the women in the sitting position at anesthesia during cesarean section has better hemodynamic indicators and anesthesia quality than those of the women in the lateral decubitus position at anesthesia, and which has less impact on the neonatal outcomes of the women.
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