余伶俐. 产妇椎管内麻醉后发生神经损伤的影响因素分析[J]. 蚌埠医科大学学报, 2016, 41(7): 877-878. DOI: 10.13898/j.cnki.issn.1000-2200.2016.07.012
    引用本文: 余伶俐. 产妇椎管内麻醉后发生神经损伤的影响因素分析[J]. 蚌埠医科大学学报, 2016, 41(7): 877-878. DOI: 10.13898/j.cnki.issn.1000-2200.2016.07.012
    YU Ling-li. Analysis of the influencing factors of nerve injury after intraspinal anesthesia of puerpera[J]. Journal of Bengbu Medical University, 2016, 41(7): 877-878. DOI: 10.13898/j.cnki.issn.1000-2200.2016.07.012
    Citation: YU Ling-li. Analysis of the influencing factors of nerve injury after intraspinal anesthesia of puerpera[J]. Journal of Bengbu Medical University, 2016, 41(7): 877-878. DOI: 10.13898/j.cnki.issn.1000-2200.2016.07.012

    产妇椎管内麻醉后发生神经损伤的影响因素分析

    Analysis of the influencing factors of nerve injury after intraspinal anesthesia of puerpera

    • 摘要: 目的:分析产妇经椎管内麻醉后发生神经损伤的影响因素。方法:选取椎管内麻醉下行子宫下段剖宫术产妇350例,其中神经损伤组40例,无神经损伤组310例。比较2组产妇的体质量、年龄、孕龄、术前合并疾病、麻醉操作时是否有异物感以及孕末期水肿情况等。结果:2组产妇的年龄、身高、体质量及孕龄差异均无统计学意义(P>0.05);神经损伤组产妇在麻醉时有异物感率为80.0%,明显高于无神经损伤组的2.2%(P<0.01);神经损伤组产妇孕期水肿发生率为65.0%,显著高于无神经损伤组的6.5%(P<0.01)。结论:熟练并规范的椎管内麻醉术有助于减少产妇术后神经损伤的发生,同时减少异物感及产妇孕期水肿程度。

       

      Abstract: Objective: To analyze the related factors of nerve injury after intraspinal anesthesia of puerpera.Methods: Three hundred and fifty puerperas treated with lower uterus cesarean section under intraspinal anesthesia were divided into the nerve injury group(40 cases) and non-nerve injury group(310 cases).The body weight,age,gestational age,preoperative comorbidities,different sense during anesthesia and edema during late pregnancy between groups were analyzed.Results: The differences of the age,height,body mass and gestational age between two groups were not statistically significant(P>0.05).The foreign body sensation rate in nerve injury group during anesthesia(80.0%) was significantly higher than that in non-nerve injury group(2.2%)(P<0.01).The rate of pregnancy edeman in nerve injury group(65.0%) was significantly higher than that in non-nerve injury group(6.5%)(P<0.01).Conclusions: The skilled and specification operation in intraspinal anesthesia can reduce the occurrence of postoperative nerve injury,foreign body sensation and maternal pregnancy edema.

       

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