摘要
目的 探讨不同麻醉方法对妊娠高血压患者剖宫产术母婴的影响。方法 选取2017年1月至2021年1月，我院收治的妊娠高血压患者120例，均接受剖宫产术分娩，随机分为实验组和对照组，每组各60例。对照组使用硬膜外麻醉，实验组给予腰硬联合麻醉，比较两组麻醉指标、不良反应情况、心率以及新生儿情况。结果 实验组最佳麻醉平面时间、麻醉起效至分娩时间、感觉恢复时间均较短于对照组；实验组不良反应发生率低于对照组；实验组在麻醉生效时的舒张压、收缩压、心率较优于对照组；实验组新生儿APgar评分较高于对照组，有统计学意义（P<0.05）。结论 不同麻醉方法对妊娠高血压患者剖宫产术母婴的影响较明显，使用腰硬联合麻醉的方法效果较好，并且有利于稳定患者的血压和心率，减少不良反应，具有应用价值。
关键词： 麻醉效果；妊娠高血压；剖宫产术
Abstract
Objective To investigate the influence of different anesthesia methods on the mother and baby of pregnancy induced hypertension patients undergoing cesarean section. Methods 120 patients with pregnancy induced hypertension admitted to our hospital from January 2017 to January 2021 were randomly divided into experimental group and control group, with 60 cases in each group. The control group was given epidural anesthesia, and the experimental group was given combined spinal and epidural anesthesia. The anesthesia indexes, adverse reactions, heart rate and neonatal conditions of the two groups were compared. Results The best anesthesia plane time, the time from onset of anesthesia to delivery, and the time of sensory recovery in the experimental group were shorter than those in the control group; The incidence of adverse reactions in the experimental group was lower than that in the control group; The diastolic blood pressure, systolic blood pressure and heart rate of the experimental group were better than those of the control group when anesthesia took effect; The APgar score of newborns in the experimental group was significantly higher than that in the control group (P<0.05). Conclusion Different anesthesia methods have obvious effects on the mothers and infants of pregnancy induced hypertension patients undergoing cesarean section. The method of combined spinal and epidural anesthesia is effective, and it is helpful to stabilize the blood pressure and heart rate of patients, reduce adverse reactions, and has application value.
Key words： Anesthetic effect; Pregnancy hypertension; Cesarean section
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