Effects of different anesthesia methods on anesthesia and newborn in cesarean section

Objective To observe the clinical effect of combined spinal-epidural anesthesia and epidural anesthesia on cesarean section operation,in order to further improve the anesthesia effect in operation.Methods One hundred forty cases of maternal cesarean section admitted in our hospital were randomly divided into two groups,with 70 cases in each group.In cesarean section operation process,the patients in experiment group (group A) were given implementation of combined spinal-epidural anesthesia,and the patients in control group (group B) were given simple epidural anesthesia.The anesth-sia effect and 1 min,5 min after birth Apgar score of neonatal,maternal blood pressure,heart rate,narcotic drugs dosage and anesthetic adverse reactions before and after anesthesia were compared between the two groups.Results The onset time of anesthesia in experimental group was significantly shorter than that in the control group,and the anesthesia drugs dosage was lower in experimental group.There were significant differences between the two groups (P ＜ 0.05).There were no significant differences in neonatal Apgar score and maternal blood pressure and heart rate before and after anesthesia of the two groups (P ＞ 0.05).Adverse reactions in the experimental group were significantly lower than those in the control group,there were significant differences (P ＜ 0.05).Conclusions In cesarean section,compared with epidural anesthesia,combined spinal-epidural anesthesia has the advantages of quick effect,less adverse reaction,high safety of maternal and neonatal,so is worth promoting in clinics. Key words: Cesarean section; Combined spinal and epidural anesthesia; Epidural anesthesia