| 杨帆 蒋鹏飞 王琼华 许斌兵 杨春亮.不同麻醉方式对剖宫产术后腰背痛发生率的影响[J].,2014,14(14):2730-2732 |
| 不同麻醉方式对剖宫产术后腰背痛发生率的影响 |
| A Comparison of Incidence of the Low Back pain in the Cesarean SectionPatients Undergoing Spinal-epidural Anesthesia、Spinal Anesthesiaand General Anesthesia |
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| DOI： |
| 中文关键词: 腰硬联合麻醉 蛛网膜下腔麻醉 全身麻醉 腰背痛 |
| 英文关键词: Spinal anesthesia Spinal-epidural anesthesia General anesthesia LBP |
| 基金项目:国家自然科学基金项目（81102110） |
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| 中文摘要: |
| 目的：比较使用不同麻醉方式进行剖宫产术后腰背痛的发生率。方法：拟行剖宫产手术待产孕妇150 例，年龄22-35 岁，美国
麻醉医师协会分级(American Society of Anesthesiologists, ASA)Ⅰ或Ⅱ级，随机分为3 组(n=50)，包括腰硬联合麻醉组（CSE 组）；
25G 腰穿针蛛网膜下腔麻醉组（S 组）；全身麻醉组(G 组)，观察并比较术后2 天、7 天、30 天腰背痛发生情况。结果：三组产妇一般
情况，手术时间无显著差异。术后2 天、7 天，S 组与G 组腰背痛发生率无显著差异，但这两组腰背痛发生率低于CSE 组，且差异
有统计学意义；术后30 天三组腰背痛发生率差异无统计学意义。结论：25G腰穿针蛛网膜下腔麻醉和全身麻醉可降低剖宫产术
后近期腰背痛的发生。 |
| 英文摘要: |
| Objective:To compare the incidence of low back pain (LBP) in different methods of anesthesia for cesarean section.Methods:150 ASA I or Ⅱ patients aged 22-35 weighing 63-85 kg were randomly divided into 3 groups (n=50 each) including
Spinal-epidural group (group CSE), Spinal group(group S), General group(group G)received spinal-epidural anesthesia, spinal anesthesia
using 25G needle and general anesthesia respectively. Patients were asked about the incidence of LBP during 2,7and 30 days post of
surgery.Results:Three groups of patients characteristics and duration of surgery had no significant difference. The incidence of LBP in
group S and G was significantly lower than that in group CSE, but the differences between group S and G was no statistically significant
after 2,7days. There were no significant differences, in the incidence of LBP after 30 days in groups.Conclusion:Spinal anesthesia using
25G needle and general anesthesia can decrease the incidence of LBP after cesarean section in comparison with spinal-epidural
anesthesia in short term. |
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