【摘要】 目的 观察腰麻—硬膜外联合麻醉(CSEA)用于产妇剖宫产术的安全性。方法 100例产妇经L2～3椎间隙，用笔尖式腰麻-硬膜外联合麻醉穿刺针，蛛网膜下腔用重比重药液。结果 腰麻-硬膜外联合麻醉诱导时间短，用药量少，缩短手术时间，便于对产妇循环、呼吸系统监护，确保新生儿Apgar评分在正常范围，减少术后头痛、感觉异常等并发症。结论 腰麻-硬膜外联合麻醉起效快，镇痛、肌松完善，对产妇、新生儿安全，适用于剖宫产术。

    【关键词】 腰麻—硬膜外联合麻醉；剖宫产

    The clinical observation on the application of CSEA to CS

    TIAN Ya-hui,XU Jun,LI Mei-qin.

    Department of Anesthesiology,Dachang Hospital,Shanghai 200436,China

    【Abstract】 Objective To observe the safety of application of CSEA to CS.Methods Analyze and conclude 100 cases of lying-in woman anesthetized by CSEA.Results CSEA shorten induce and operation hour,reduce dosage of anaesthetic.And CSEA also make it easy to control the breathe,heart rate and body temperature of lying-in woman.To the normal extent,it can decrease the chance of postoperative headache and abnormal feeling.Conclusion CSEA is safe and credible for the lying-in woman and infant.It’s applicable for Caesarean operation.

    【Key words】 CSEA;caesarean operation

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