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首页> 外文期刊>Journal of International Medical Research >Comparison of three neuraxial anesthesia approaches in parturient women with obesity and pregnancy-induced hypertension who underwent cesarean section
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Comparison of three neuraxial anesthesia approaches in parturient women with obesity and pregnancy-induced hypertension who underwent cesarean section

机译：肥胖与妊娠高血压患有肥胖和妊娠高血压的三种神经周围患者的比较

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Objective To compare the effectiveness of different approaches of neuraxial anesthesia in parturient women with obesity and pregnancy-induced hypertension (PIH) who undergo cesarean section (CS). Methods We retrospectively analyzed data from 108 parturient women with obesity and PIH who underwent CS. All women were divided into the following three groups according to the neuraxial anesthesia approach: spinal anesthesia (SA), epidural anesthesia (EA), and combined spinal–epidural anesthesia (CSE). Clinical variables were compared. Results The mean age of the patients was 27.3?±?2.2 years. Women in the CSE group had a longer duration from puncture to surgery, smaller intraoperative change in mean arterial pressure, higher Apgar scores at 1 and 5 minutes, shorter surgery time, lower rates of nausea and vomiting, and lower rate of intraoperative hypotension compared with those in the SA and EA groups. Conclusion CSE takes longer to administer in parturient women with obesity and PIH who undergo CS compared with those who have SA or EA. However, CSE has several advantages over SA or EA, including a shorter surgery time, more stable intraoperative mean arterial pressure, lower rates of nausea, vomiting, and intraoperative hypotension, and better Apgar scores at 1 and 5 minutes.
机译：目的，比较肥胖和妊娠诱导高血压（PIH）治疗剖宫产（CS）的肥胖和妊娠高血压（CS）的不同方法的效果。方法我们回顾性地分析了来自108名伴侣女性的数据，肥胖和谁接受了CS。根据神经麻醉方法：脊髓麻醉（SA），硬膜外麻醉（EA）和组合脊柱硬膜外麻醉（CSE），所有妇女分为以下三组。比较临床变量。结果患者的平均年龄为27.3？±2.2岁。 CSE集团的妇女在刺穿到手术的持续时间较长，平均动脉压的较小术中变化，较高的APGAR分数为1和5分钟，手术时间较短，恶心率较低，术语较低的术术和术中的低血压率较低。与那些在SA和EA组。结论CSE需要更长时间的时间才能在患有肥胖和PIH的父母和PIH的父母和PS与那些拥有SA或EA的人进行比较。然而，CSE在SA或EA方面具有几个优点，包括较短的手术时间，更稳定的术中平均动脉压，恶心，呕吐和术中低血压率较低，并且更好的APGAR分数在1和5分钟内。

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