Clinical Study of Combined Spinal-epidural Anesthesia for Emergency Cesarean Section

Objective: To study the clinical efficiency of combined spinal-epidural anesthesia (CSEA) in patients undergoing emergency cesarean section. Methods: 100 ASA Ⅰ～Ⅱ patients undergoing emergency cesarean section were randomly divided into two groups : CSEA group(50 cases) and continuous epidural anesthesia (EA) group(50 cases).The anesthesia inducement time,the incison to delivery interval (IDI),the operative duration,the quality of anesthesia,the dosage of anesthesia agents,the change of vital signs, the side effects and neonatal state(Apgar)were observed. Results: The operative duration ,IDI and the anesthesia inducement in CSEA group were much shorter than that of EA group(P0.05). The effect of anesthesia in CSEA group was much better than that of EA group(P0.05), and much less local anesthesia agents was used(P0.01).Although the possibility of hypotension was higher in CSEA group, there were not obvious differences between two groups in neonatal Apgar score and other side effects. Conclusion: CESA has faster inducement and greater efficiency with a good foreground for clinical application in emergency cesarean section.