Effect of epidural versus epidural anesthesia in cesarean section

Objective To explore effects of spinal-epidural anesthesia combined with epidural anesthesia for cesarean section anesthesia and hemodynamic maternal. Methods 122 cases of mothers for cesarean section surgery in Lyuliang Municipal People's Hospital from January 2012 to January 2014 were selected, and they were divided into two groups by randomized single-blind method.The control group (61 cases) was given simple subdural anesthesia (EA), while the observation group was given CSEA.The maternal hemodynamics, efficacy of the anesthesia and adverse reactions were compared between the two groups. Results The onset time of anesthesia, maximum block level, amount of anesthetic in the observation group were (3.87±0.25)min, (5.04±0.41)T, (6.87±0.92)mL, which were significantly reduced compared with the control group(t=8.55, 8.03, 6.45, all P 0.05); while the control group of patients with the MAP at T2 had obvious reduction compared with T0 (t=8.34, P<0.05), T2, T3 compared with T0 decreased significantly(t=7.87, 7.56, all P<0.05). The incidence rate of adverse reaction in the observation group was 9.84%, which was significantly lower than 24.59% of the control group, the difference was statistically significant (χ2=9.45, P<0.05). Conclusion The lumbar epidural anesthesia for cesarean section anesthesia had significantly fewer adverse reactions, and it can remain stable maternal vital signs, which was an ideal cesarean for section anesthesia. Key words: Amesthesia, spinal; Anesthesia, epidural; Cesarean section; Anesthesia; Hemodynamics