Comparison of the effect between combined spinal epidural anesthesia and continous epidural anesthesia for elective cesarean section

VernacularTitle:腰椎蛛网膜下腔联合硬膜外腔阻滞麻醉与连续硬膜外麻醉用于剖宫产术效果比较
Author: Xiaodong XU ; Liping HU ; Cai FANG
Publication Type:Journal Article
Keywords: Anesthesia; Cesarean section
From: Chinese Journal of Primary Medicine and Pharmacy 2011;18(10):1333-1334
CountryChina
Language:Chinese
Abstract: Objective To investigate the feasibility and superiority of combined spinal epidural anesthesia incesarean section.Methods 100 lying-in women who experienced cesarean section were collected and divided into combined spinal epidural anesthesia group(CSEA,n=50)and continuous epidural anesthesia group(CEA,n=50).The change of heart rate(HR),blood pressure(BP)and saturation of peripheral oxygen(SpO2),HR and BP of lyingin womeu in pre-anesthesia,5min,15min post-anesthesia and the time of taking effect,time between beginning of anesthesia and laboar of newborn were observed.The side effects of surgical anesthesia and Apgar score of newborn were compared between the two groups.Results There were no difference in clinical data,change of HR,BP and spO2 between two groups.The anaesthetic time of taking effect and the time between beginning of anesthesia and labour of newborn in group CSEA were shorter than in group CEA(all P＜0.05).Conclusion The combined CSEA and CEA was safe and efficient in cesarean section,and CSEA had greater efficacy than CEA in cesarean section.