Hasene Ozcam, Gonul Cimen, Altan Var, Ahmet Guldas, Cihangir Uzunçakmak, Beysim Ozcan, Ramazan Ozyurt
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摘要

目的:剖宫产术中麻醉方式的选择至关重要。必须选择最合适的方法来维持母亲和胎儿的健康。在我们的临床中,脊髓麻醉(SA)和全身麻醉(GA)都被应用,本文旨在回顾性评价这两种方法对产妇的影响。材料与方法:本研究纳入2012-2013年间行剖宫产术的100例患者,其中50例为脊柱麻醉,50例为全身麻醉,无手术且有全身性疾病。记录人口学资料、手术时间、胎儿出生时间、术前术后全血细胞计数、住院时间及术后并发症。结果:全身麻醉与脊髓麻醉患者在年龄、妊娠、胎次、排胎时间、住院时间、并发症发生率等方面差异无统计学意义。20%的患者术后出现各种并发症。全身麻醉与脊髓麻醉患者的并发症发生率无显著差异。接受全身麻醉的患者手术时间明显高于其他患者。全麻组术前和术后产妇血红蛋白和红细胞压积水平的下降明显高于脊髓麻醉组。结论:剖宫产术中全身麻醉与脊髓麻醉在排胎时间、住院天数、术后并发症等方面均无优势。然而,使用脊髓麻醉可以减少出血量和缩短手术时间。应首选脊髓麻醉,特别是在产妇贫血和子宫张力风险高的情况下。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sezaryenlerde Genel ve Spinal Anestezinin Maternal Etkileri
SUMMARY Maternal Effects of General and Spinal Anesthesia in Cesarean Sections Objective: The choice of anesthesia method in cesarean section is important. The most appropriate method for the maintenance of the health of the mother and the fetus must be selected. In our clinic, both spinal anesthesia (SA) and general anesthesia (GA) have been applied and in this paper we aimed to evaluate the maternal effects of the two methods retrospectively. Material and Methods: In this study, 100 patients who underwent cesarean delivery between 2012-2013, ( 50 spinal, 50 general anesthesia,) had no surgery and systemic disease were included. Demographic data, duration of surgery, time to the birth of the fetus, preoperative and postoperative complete blood count, duration of hospitalization and postoperative complications were recorded. Results: Among patients who underwent general anesthesia and spinal anesthesia, there was not any statistically significant difference in terms of age, gravida, parity, time to expulsion of the fetus, the duration of hospitalization and complication rate. Various complications occurred in 20% of patients in the postoperative period. Complication rate was not significantly different between patients who under went general anesthesia and spinal anesthesia. Duration of surgery in patients who underwent general anesthesia was statistically significantly higher than in other patients. Pre operative and postoperative decrease in maternal hemoglobin and hematocrit levels were statistically significantly higher in general anesthesia than in spinal anesthesia. Conclusion: General and spinal anesthesia in cesarean section have no superiority to each other, in terms of time to expulsion of the fetus, the number of hospitalized days and postoperative complications. However, the use of spinal anesthesia gives rise to less blood loss and shorter operative times. Spinal anesthesia should be preferred, especially in cases where maternal anemia and uterine atony risk is high.
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