Comparison of the application value of combined spinal-epidural anesthesia in primary hospital undergoing emergency cesarean section

Objective To explore the application value and safety of combined spinal-epidural anesthesia(CSEA)and epidural anesthesia(EA)in emergency cesarean section.Methods 60 cases emergency cesarean section with ASA Ⅰ~Ⅱgrade single-fetus mature pregnant women were randomly divided into two groups.Group CSEA(n=30)received combined spinal-epidural anesthesia and group EA(n=30)received epidural anesthesia.The hemodynamic parameters.The onset time,sensory nerve complete block time and the quality of anesthesia,Apgar score of fetus delivered.The complications and adverse reactions of anesthesia were compared between the two groups.Results No significant differences were observed in hemodynamic changes between two groups(P0.05);the onset time and sensory nerve complete block time of group CSEA was significantly shorter than that in group EA(P0.05);the anesthesia effect was considered significantly better in group CSEA than that in group EA(P0.01).Apgar scores differences were not significant in newborns in both groups(P0.05).There were no significant differences between the groups in the incidence of complications and adverse reactions(P0.05).Conclusion CSEA is a reliable technique which provides more rapid onset of analgesia,and positive muscle relaxation results,the incidence of adverse reactions is low,it is an ideal and safe anesthesia method for emergency cesarean section in primary hospital.