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目的:比较使用不同麻醉方式进行剖宫产术后腰背痛的发生率。方法:拟行剖宫产手术待产孕妇150例,年龄22-35岁,美国麻醉医师协会分级(American Society of Anesthesiologists,ASA)Ⅰ或Ⅱ级,随机分为3组(n=50),包括腰硬联合麻醉组(CSE组);25G腰穿针蛛网膜下腔麻醉组(S组);全身麻醉组(G组),观察并比较术后2天、7天、30天腰背痛发生情况。结果:三组产妇一般情况,手术时间无显著差异。术后2天、7天,S组与G组腰背痛发生率无显著差异,但这两组腰背痛发生率低于CSE组,且差异有统计学意义;术后30天三组腰背痛发生率差异无统计学意义。结论:25G腰穿针蛛网膜下腔麻醉和全身麻醉可降低剖宫产术后近期腰背痛的发生。
Objectives: To compare the incidence of low back pain after caesarean section using different anesthesia methods. METHODS: One hundred and fifty women undergoing cesarean section were enrolled in this study. The patients were aged 22-35 years old. The American Society of Anesthesiologists (ASA) Ⅰ or Ⅱ were randomly divided into 3 groups (n = 50) (CSE group), 25G lumbar puncture and subarachnoid anesthesia group (S group), and general anesthesia group (G group). The occurrence of low back pain in 2 days, 7 days and 30 days after operation were observed and compared . Results: The three groups of maternal general situation, no significant difference in operative time. There was no significant difference in the incidence of low back pain between S group and G group at 2 days and 7 days after operation, but the incidence of low back pain in both groups was lower than that in CSE group, and the difference was statistically significant. At 30 days after operation, There was no significant difference in the incidence of back pain. Conclusion: 25G lumbar puncture subarachnoid anesthesia and general anesthesia can reduce the occurrence of recent low back pain after cesarean section.