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[1]乔建军,朱海琴,李琴宁,等.细针腰麻在血小板减少症孕妇剖宫产麻醉中的应用[J].宁夏医科大学学报,2019,(12):1248-1250.[doi:10.16050/j.cnki.issn1674-6309.2019.12.013]
 QIAO Jianjun,ZHU Haiqin,LI Qinning,et al.The Application of Fine Needle Lumbar Anesthesia in Cesarean Section for Pregnant Women with Moderate Thrombocytopenia[J].Ningxia Medical University,2019,(12):1248-1250.[doi:10.16050/j.cnki.issn1674-6309.2019.12.013]
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《宁夏医科大学学报》[ISSN:1005-8486/CN:64-1029/R]

卷:
期数:
2019年12期
页码:
1248-1250
栏目:
经验交流
出版日期:
2020-03-27

文章信息/Info

Title:
The Application of Fine Needle Lumbar Anesthesia in Cesarean Section for Pregnant Women with Moderate Thrombocytopenia
文章编号:
1674-6309(2019)12-1248-03
作者:
乔建军 朱海琴 李琴宁 王 婧 马伟强 吴星明
(宁夏银川市妇幼保健院,银川 750001)
Author(s):
QIAO Jianjun ZHU Haiqin LI Qinning WANG Jing MA Weiqiang WU Xingming
(Department of Anesthesiology,Yinchuan Women and Children’s Healthcare Hospital,Yinchuan 750001,China)
关键词:
血小板减少症剖宫产术麻醉并发症
Keywords:
thrombocytopeniacesarean sectionanesthesiacomplications
分类号:
R614
DOI:
10.16050/j.cnki.issn1674-6309.2019.12.013
文献标志码:
B
摘要:
目的 观察细针腰麻应用于中度血小板减少孕妇剖宫产手术的有效性。方法 选择妊娠合并中度血小板减少孕妇为细针组(30例),另选血小板计数正常孕妇为对照组(30例)和粗针组(30例),细针组和对照组采用细针进行蛛网膜下腔阻滞麻醉,粗针组采用常规蛛网膜下腔阻滞麻醉,观察比较三组孕妇穿刺点出血量、麻醉效果、麻醉并发症等情况。结果 细针组和对照组孕妇穿刺点出血量均比粗针组少(P均<0.01);细针组和对照组麻醉持续时间均比粗针组长(P均<0.01),而细针组与对照组比较差异均无统计学意义(P均>0.05)。三组孕妇麻醉阻滞平面达到T6所用时间以及麻醉阻滞后不吸氧情况下1、5和10 min时SpO2变化比较差异均无统计学意义(P均>0.05)。三组孕妇均未发生局部感染、阻滞区域异感、二便失禁、下肢肌力减退、尿潴留、头痛、恶心呕吐、马尾综合征等并发症。结论 细针穿刺腰麻用于中度血小板减少症孕妇的剖宫产手术麻醉效果优良。
Abstract:
Objective To observe the effectiveness for using fine needle lumbar anesthesia in cesarean section for pregnant women with moderate thrombocytopenia. Methods Thirty pregnant women with moderate thrombocytopenia were selected as fine needle group(30 cases),thirty pregnant women with normal platelet count as control group (30 cases) and another thirty pregnant women with coarse needle group (30 cases). Fine needle group and control group were used subarachnoid block anesthesia with fine needle, while coarse needle group was used for conventional subarachnoid block anesthesia. The amount of bleeding at the puncture point, anesthesia effect and anesthesia complications were observed and compared the three groups. Results The amount of bleeding at the puncture point in the fine needle group and the control group was less than that of the coarse needle group(P all<0.01); the anesthesia duration of the fine needle group and the control group was longer than that of the coarse needle group(P all<0.01),but there was no significant difference between the fine needle group and the control group(P all>0.05). Also there was no significant difference between the three groups in the time when the anesthesia block plane reached T6 and the change of SpO2 at 1, 5 and 10 min without oxygen inhalation(P all>0.05). Three groups of all pregnant women did not have local infection, block regional abnormalities,two incontinence, lower limb muscle strength, urinary retention, headache, nausea and vomiting, cauda equina syndrome and other complications. Conclusion Fine needle puncture lumbar anesthesia is more effective in cesarean section for pregnant women with moderate thrombocytopenia.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2019-02-23
基金项目:自治区卫生计生委重点研究课题(2017-NW-074)
作者简介:乔建军(1973-),男,宁夏人,副主任医师,学士,从事妇产儿科麻醉研究。
更新日期/Last Update: 2019-12-30