Ahmed S M, Khan R M, Bano S, Ajmani P, Kumar A
Department of Anaesthesiology, JN Medical College, AMU, Aligarh.
J Indian Med Assoc. 1999 May;97(5):165-8.
Thirty-three patients of pre-eclamptic toxaemia underwent caesarean section (CS) under general anaesthesia (n = 16) and spinal anaesthesia (n = 17). The Apgar score at 1, 5 and 10 minutes of the babies following spinal anaesthesia (SA) were only marginally better than that of general anaesthesia (GA; P > 0.05). The incidence of complication following GA (68.8%) were significantly (P < 0.05) more than that of SA (47.1%). Commonest complications following GA were intra-operative hypertension (68.8%) followed by difficult intubation (25%), pulmonary oedema (12.8%), delayed recovery (12.8%) and mortality (4.3%). While following SA complications were intra-operative hypotension (47.1%), difficult SA (29.4%) and intra-operative vomiting (5.9%). The nature of complications following GA were more serious which may even lead to mortality (4.3%), whereas following SA it was less serious and easily manageable. Hence SA is not as unsafe as it is thought.
33例先兆子痫患者在全身麻醉（n = 16）和脊髓麻醉（n = 17）下行剖宫产术（CS）。脊髓麻醉（SA）后婴儿1分钟、5分钟和10分钟的阿氏评分仅略高于全身麻醉（GA）（P>0.05）。全身麻醉（GA）后并发症的发生率（68.8%）显著高于脊髓麻醉（SA）（47.1%）（P<0.05）。全身麻醉后最常见的并发症是术中高血压（68.8%），其次是插管困难（25%）、肺水肿（12.8%）、苏醒延迟（12.8%）和死亡率（4.3%）。而脊髓麻醉后的并发症是术中低血压（47.1%）、脊髓麻醉困难（29.4%）和术中呕吐（5.9%）。全身麻醉后并发症的性质更严重，甚至可能导致死亡（4.3%），而脊髓麻醉后并发症则较轻且易于处理。因此，脊髓麻醉并不像人们认为的那样不安全。
