双孔笔尖式腰穿针(DHPP)在剖宫产手术的临床应用
目的:探讨双孔笔尖式腰穿针(DHPP)在剖宫产手术临床应用的体会和优点。方法:选择ASAⅠ-Ⅱ级新式剖宫产术80例。随机分成两组:腰硬联合麻醉(CSEA)组和双孔笔尖式腰穿针腰麻(SA)(DHPPSA)组,各40例。结果:CSEA组40例中穿刺成功率为99%,术后腰痛发生率为17.5%。DHPPSA组40例中穿刺成功率为80%,术后无1例发生穿刺部位不适与疼痛。结论:DHPPSA应用与剖宫产术,既保留了SA起效快、镇痛强、肌松好的优点,又克服了SA术后头痛的缺点和去枕的不足、避免了硬膜外麻醉(EA)穿刺对脊椎韧带和组织损伤造成的术后腰痛,确保母婴安全,减少产妇痛苦,降低手术风险,是剖宫产术首选...
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description | 目的:探讨双孔笔尖式腰穿针(DHPP)在剖宫产手术临床应用的体会和优点。方法:选择ASAⅠ-Ⅱ级新式剖宫产术80例。随机分成两组:腰硬联合麻醉(CSEA)组和双孔笔尖式腰穿针腰麻(SA)(DHPPSA)组,各40例。结果:CSEA组40例中穿刺成功率为99%,术后腰痛发生率为17.5%。DHPPSA组40例中穿刺成功率为80%,术后无1例发生穿刺部位不适与疼痛。结论:DHPPSA应用与剖宫产术,既保留了SA起效快、镇痛强、肌松好的优点,又克服了SA术后头痛的缺点和去枕的不足、避免了硬膜外麻醉(EA)穿刺对脊椎韧带和组织损伤造成的术后腰痛,确保母婴安全,减少产妇痛苦,降低手术风险,是剖宫产术首选的麻醉方法。 |
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subjects | 剖宫产 双孔笔尖式腰穿针头痛 腰痛 |
title | 双孔笔尖式腰穿针(DHPP)在剖宫产手术的临床应用 |
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