Effects of different anesthesia methods on puerperants and fetus perioperatively undergoing cesarean delivery after epidural labor analgesia
10.16352/j.issn.1001-6325.2024.11.1573
- VernacularTitle:分娩镇痛转剖宫产手术不同麻醉方式对产妇及胎儿围术期的影响
- Author:
Jinghan FANG
1
;
Yingchen FENG
;
Ruquan HAN
Author Information
1. 首都医科大学附属北京天坛医院 麻醉科,北京 100070
- Keywords:
epidural labor analgesia;
cesarean delivery;
epidural anesthesia;
subarachnoid anesthesia;
anesthesia effect
- From:
Basic & Clinical Medicine
2024;44(11):1573-1577
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of epidural anesthesia and subarachnoid anesthesia on puerperants and fetus perioperatively undergoing cesarean delivery after epidural labor analgesia.Methods A retrospective cohort study was conducted to select and analyze the relevant clinical data of women who had epidural labor anal-gesia and were converted to cesarean delivery at Beijing Tiantan Hospital.According to the anesthesia method of cesarean section,the participants were divided into the epidural anesthesia(EA)group and the subarachnoid an-esthesia(SA)group.That were aimed to compare the effects of the two anesthesia methods on the mother and fe-tus perioperatively.Results Compared with women in the epidural anesthesia group,women in the subarachnoid anesthesia group had a better anesthesia outcome,visual analogue scale(VAS)scores,frequency(%)[VAS scores 0-3:5(25%)vs.14(70%);VAS scores 4-6:12(60%)vs.6(30%);and VAS scores 7-10:3(15%)vs.6(30%)],and higher perioperative complication rate.There was nonsignificance difference in perio-perative maternal bleeding,neonatal Apgar score,and neonatal umbilical artery blood gas analysis between the two groups.Conclusions In women with epidural analgesia undergoing cesarean section,the anesthesia effect of subarachnoid anesthesia is better than that of the epidural anesthesia.The anesthesiologist must pay attention to prevent complications in the perioperative period.
