[中国产妇体高与脊柱长度的比较]。

I S Lin, C L Lee, J L Wu, C F Wang, C G Liu, Y T Lee
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引用次数: 0

摘要

脊髓麻醉(SA)常用于剖宫产术(C/S)。身高(BH)通常被认为是影响SA扩散的因素之一,特别是在BH极端患者中。然而,最近的研究表明,SA的扩散与BH无关,而与脊柱长度(VL)有关。本研究旨在探讨中国产妇BH与VL的关系。本研究纳入258例无脊柱异常行C/S手术的产妇。在右侧卧位测量每位患者的VL (C7凸与骶裂孔之间)。根据身高分为3组(A组小于152 cm;B组= 153-161 cm范围内;C组大于162 cm)。各组BH与VL的相关性采用线性回归分析。通过非配对学生t检验确定两组之间是否存在显著差异。p值小于0.05认为具有统计学意义。本研究结果表明,虽然BH与VL之间存在相关性,但各组的相关系数(r值)较小(A、B、C组分别为0.29、0.13、0.31;P < 0.05)。三组间的VL也无显著差异。因此,我们得出结论,BH和VL并不密切相关,因此BH可能对SA在中国产妇中的传播贡献不大,包括那些BH极端的产妇。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Comparison of body height and vertebral column length in Chinese parturients].

Spinal anesthesia (SA) is frequently used in parturients undergoing Cesarean sections (C/S). The body height (BH) is commonly believed to be one of the factors influencing the spread of SA, especially in patients with extremes of the BH. Recent studies, however, show that the spread of SA is not related to the BH but to the vertebral column length (VL). This study aims to evaluate the relationship between the BH and VL in Chinese parturients. 258 parturients without vertebral column abnormality undergoing C/S were included in this study. The VL (between C7 prominence and sacral hiatus) of each patient was measured in the right decubitus position. They were divided into 3 groups according to their BH (group A less than 152 cm; group B = in the range of 153-161 cm; group C greater than 162 cm). In each group correlation between the BH and VL was made by linear regression analysis. Also determined is whether there is significant difference between each two groups by unpaired Student's t-test. A p values less than 0.05 is considered as statistical significance. The results of the present study showed that although there exists correlation between the BH and VL, the correlation coefficient (r value) is small in each group (0.29, 0.13, and 0.31 in Group A, B, and C respectively; p less than 0.05). There is, also, no significant difference of the VL among the three groups. Therefore we concluded that the BH and VL did not closely correlate and therefore BH might contribute little to the spread of SA in the Chinese parturients, including those with extremes of BH.

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