Fassoulaki A, Petropoulos G, Staikou C, Siafaka I, Sarantopoulos C
Department of Anaesthesiology, Aretaieio Hospital, Athens, Greece.
J Obstet Gynaecol. 2009 Jan;29(1):25-30. doi: 10.1080/01443610802628569.
We investigated retrospectively the duration of hospital stay of 1,619 women who received general (GA) (n = 582) or neuraxial anaesthesia (combined spinal-epidural [CSEA] (n = 614), epidural [EA] (n = 423)) for caesarean delivery over the years 2002-2005. Hospital stay was also analysed for the different obstetricians involved. Overall duration of hospital stay differed between 2002 and 2005 (p < 0.0001) but not between CSEA and EA (p = 0.460). Overall duration of hospital stay differed between neuraxial and GA group (p < 0.001). Duration of hospital stay of the GA group showed a progressive decrease between 2002 and 2005 (p = 0.002). Duration of hospital stay after neuraxial anaesthesia differed between 2002 and 2005 (p = 0.013) and among different surgeons (p < 0.001). Discharge rates from the hospital were shorter after neuraxial anaesthesia versus GA for the 3rd and 4th postoperative days (p < 0.001 and p < 0.001, respectively). Neuraxial anaesthesia for caesarean section seems to be associated with shorter duration of hospital stay than GA.
我们回顾性研究了2002年至2005年期间接受全身麻醉（GA）（n = 582）或神经轴索麻醉（腰麻-硬膜外联合麻醉[CSEA]（n = 614）、硬膜外麻醉[EA]（n = 423））进行剖宫产的1619名女性的住院时间。还对不同产科医生的情况进行了住院时间分析。2002年和2005年的总体住院时间存在差异（p < 0.0001），但CSEA和EA之间无差异（p = 0.460）。神经轴索麻醉组和GA组的总体住院时间存在差异（p < 0.001）。GA组的住院时间在2002年至2005年期间呈逐渐下降趋势（p = 0.002）。神经轴索麻醉后的住院时间在2002年和2005年之间存在差异（p = 0.013），且在不同外科医生之间也存在差异（p < 0.001）。术后第3天和第4天，神经轴索麻醉后的出院时间比GA短（分别为p < 0.001和p < 0.001）。剖宫产的神经轴索麻醉似乎比GA与更短的住院时间相关。
