Effect of the combined spinal-epidural anesthesia and epidural anesthesia on cesarean section in scar uterine

Objective: To compare the effects of the combined spinal-epidural anesthesia(CSEA) and continuous epidural anesthesia(CEA) on cesarean section in scar uterine.Methods: Sixty-six elective caesarean patients with scar uterine were randomly divided into the CSEA group(33 cases) and CEA group(33 cases).The anaesthetic effects,adverse reaction and effect of hemodynamics of parturient on neonate in two groups were observed.Results: Compared with before anesthesia,the noninvasive arteries pressure levels in CSEA group and CEA group were decreased significantly at 10 min and 20 min after anesthesia,respectively(P<0.01).The levels of heart rate in CSEA group and CEA group were increased significantly at 10 to 30 min and 20 to 30 min after anesthesia,respectively(P<0.01).The dosage,onset time and retardation time of anesthesia in CSEA group were significantly lower than those in CEA group(P<0.01).The excellence ratio of anesthesia in CSEA group(100.0%) was higher than that in CEA group(84.9%)(P<0.05).Conclusions: The CSEA has the dual advantages of CEA and lumbar anesthesia,which has good effect on cesarean section in scar uterine.