期刊目次

加入编委

期刊订阅

添加您的邮件地址以接收即将发行期刊数据:

Open Access Article

Journal of Advances in Clinical Nursing. 2025; 4: (2) ; 126-128 ; DOI: 10.12208/j.jacn.20250087.

Observation on the effect of fine needle single spinal anesthesia combined with concave supine position for cesarean section
细针单次腰麻联合中凹卧位用于剖宫产效果观察

作者: 李福明 *

弥勒第一医院 云南红河州弥勒

*通讯作者: 李福明,单位:弥勒第一医院 云南红河州弥勒;

发布时间: 2025-02-25 总浏览量: 46

摘要

目的 观察细针单次腰麻联合中凹卧位用于剖宫产效果。方法 取2024年1月到2025年1月我院剖宫产者100例作为研究对象,采用盲选均分的形式对产妇进行分组,釆用传统腰联合麻醉联合平卧位者均纳入参照组,采用细针单次腰麻联合中凹卧位者均纳入研究组,观察两组差异,记录两组患者椎管内并发症发生率、麻醉后低血压发生率、各数据,并对比两组数据。结果 椎管内并发症发生率对比研究组低于参照组(P<0.05);麻醉后低血压发生率对比,研究组低于参照组(P<0.05)。结论 细针单次腰麻联合中凹卧位在剖宫产手术中具有较好的应用效果理想,椎管内并发症发生率低,麻醉后低血压发生率低。

关键词: 细针单次腰麻;中凹卧位;剖宫产;血流动力学;疼痛管理;新生儿结局

Abstract

Objective To observe the effect of single lumbar anesthesia with fine needle combined with concave position for cesarean section.
Methods A total of 100 cases of cesarean section delivered in our hospital from January 2024 to January 2025 were selected as the research objects, and the women were divided into different groups by blind selection and equalization. Those who received traditional lumbar anesthesia combined with horizontal position were all included in the reference group, while those who received fine needle single lumbar anesthesia combined with mid-receding position were included in the research group, and the differences between the two groups were observed. The incidence of intraspinal complications, the incidence of postoperative hypotension and the data of the two groups were recorded, and the data of the two groups were compared.
Results The incidence of intraspinal complications in the comparison group was lower than that in the reference group (P < 0.05). The incidence of hypotension after anesthesia was lower in the study group than in the reference group (P < 0.05).
Conclusion   Single lumbar anesthesia with fine needle combined with central concave position has a good application effect in cesarean section operation, with low incidence of intraspinal complications and low incidence of hypotension after anesthesia.

Key words: Fine needle single lumbar anesthesia; Concave position; Caesarean section; Hemodynamics; Pain management; Neonatal outcome

参考文献 References

[1] 乔建军,朱海琴,王婧,等. 细针腰麻联合舒芬太尼在无痛分娩顺转剖麻醉中的效果观察[J]. 健康女性,2022(23): 94-96. 

[2] 介明良,郑丽宾,陈磊. 改良25G细针旁正中入路腰麻对剖宫产麻醉效果的影响[J]. 医学理论与实践,2023, 36(18): 3161-3163. 

[3] 苑惠青,刘艳青,李建云. 细针腰麻在血小板减少症孕妇剖宫产麻醉中的应用价值评估[J]. 中国保健营养,2021, 31(16):38. 

[4] 罗璇. 旁入穿刺法细针腰麻对剖宫产手术的临床疗效研究[J]. 按摩与康复医学,2021,12(6):68-69. 

[5] 潘国峰. 25G细针小剂量布比卡因腰麻在剖宫产手术中的应用效果及安全性研究[J]. 中外医学研究,2019, 17(22): 28-30. 

[6] 魏赐宝,刘红音,魏素英. 旁入穿刺法细针腰麻用于剖宫产手术的临床效果分析[J]. 现代医院,2019,19(12): 1838 -1839,1841. 

[7] 于永生,徐淑兰,尹军,等. 舒芬太尼等比重下细针腰麻在子宫下段剖宫产术中的应用[J]. 健康必读,2019(3):66-67. 

[8] 吴浩,张伟,蒋忠. 改良中凹卧位在妇科腹腔镜手术的应用[J]. 中国医学装备,2016,13(3):91-93,94. 

[9] 计成忠,舒波,王文霞. 剖宫产术不同体位穿刺腰麻-硬膜外联合麻醉效果及对新生儿影响[J]. 中国计划生育学杂志,2023,31(5):1082-1086. 

[10] 高军宁,张春颖. 剖宫产麻醉穿刺时不同体位对仰卧位综合征发生的影响[J]. 婚育与健康,2021(16):167. 

[11] 马孟志,刘岩. 肥胖产妇剖宫产术不同体位下腰硬联合麻醉镇痛效果及对血流动力学和新生儿结局影响[J]. 中国计划生育学杂志,2022,30(7):1574-1576,1581. 

[12] 桑阿明,宋学敏. 改良旁正中入路细针和传统针内针穿刺蛛网膜下腔麻醉在剖宫产手术中的应用[J]. 临床与病理杂志,2021,41(6):1345-1349. 

引用本文

李福明, 细针单次腰麻联合中凹卧位用于剖宫产效果观察[J]. 临床护理进展, 2025; 4: (2) : 126-128.