| 付英勇1 徐学芹1 杨微1 付崇勇1 刘芳婷2 袁红斌2△.硬膜外分娩镇痛转行硬膜外剖宫产麻醉失败的相关因素分析*[J].,2014,14(8):1539-1541 |
| 硬膜外分娩镇痛转行硬膜外剖宫产麻醉失败的相关因素分析* |
| Analysis of the Related Factors of Failure to Convert Labor EpiduralAnalgesia to Epidural Anesthesia for Cesarean Section* |
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| DOI： |
| 中文关键词: 分娩镇痛 剖宫产麻醉 硬膜外镇痛 麻醉失败 |
| 英文关键词: Labor analgesia Anesthesia for cesarean delivery Epidural analgesia Anesthesia failure |
| 基金项目:国家自然科学基金项目(30901470) |
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| 中文摘要: |
| 摘要目的：探讨采用硬膜外分娩镇痛中途转行硬膜外剖宫产麻醉失败的相关因素并对其进行分析。方法：选择来我院进行硬膜
外分娩镇痛转而形硬膜外剖宫产麻醉的产妇218 例，根据硬膜外麻醉失败的定义将其划分为成功组和失败组，对两组的一般资
料、产程中的平均动脉压、硬膜外分娩镇痛情况分别进行比较分析。结果：成功组192 例，失败组26例，两组产妇在一般资料上无
差异（P>0.05），在转行剖宫产前成功组平均动脉压显著低于失败组（P<0.05），补救给药的次数上成功组显著低于失败组（P<0.
05），在镇痛持续时间上成功组显著少于失败组（P<0.05）。结论：影响硬膜外剖宫产麻醉失败的危险因素是分娩镇痛时需要补救给
药的次数增加以及镇痛所持续的时间延长，对于出现此类危险因素的产妇，应改变剖宫产麻醉方式，以最大限度地降低剖宫产麻
醉的失败率，这对于母婴并发症的减少起着积极的作用。 |
| 英文摘要: |
| ABSTRACT Objective:to discuss the relevant factors of the failure to transit from the Epidural Labor analgesia to the epidural
anesthesia for cesarean section. Methods: Choose 218 examples of pregnant women who come to our hospital and underwent the
transition from the Epidural Labor analgesia to the epidural anesthesia for cesarean section. Divide them into 2 groups (group of success
and group of failure) according to the definition of the Epidural Anesthesia Failure. Results:Comparing the general data, the mean
arterial blood pressure during delivery and the condition of epidural pain between the two groups, it can be found that the two groups
have no difference in the general data(P>0.05). However, when it comes to the mean arterial blood pressure, the number of remedies and
the time of continuous pain, the group of success is obviously lower than the group of failure (P<0.05).Conclusion: The dangerous
factors related to the failure of anesthesia for cesarean delivery include the increasing number of remedies and the increasing time of the
continuous pain. In order to decline the potential failure of Anesthesia for cesarean delivery as well as the outbreak of some disease of
mothers and infants, we should change the way of anesthesia for cesarean delivery in operation on the women with delivery failure as
soon as possible. |
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