Dağlı Recai, Dağlı Selda Songur
Department of Anaesthesiology and Reanimation, Ahi Evran University Faculty of Medicine, Kırşehir, Turkey.
Clinic of Obstetrics and Gynecology, Ahi Evran University Training and Research Hospital, Kırşehir, Turkey.
Turk J Anaesthesiol Reanim. 2015 Feb;43(1):41-6. doi: 10.5152/TJAR.2014.03521. Epub 2014 Sep 9.
Anaesthesiologists are applying regional anaesthesia for caesarean section at an increasing rate compared to previous years. In our study, we tried to evaluate the perspective of obstetricians towards this trend.
Questionnaires were sent to e-mail addresses of obstetricians via the internet; 195 obstetricians replied. Sex, age, work place, employer, working durations as consultant, preference of anaesthesia for caesarean section and their bias towards regional anaesthesia were asked with these questionnaires. A 5-point Likert scale was used to evaluate their bias towards regional anaesthesia.
While 82.1% of obstetricians (n: 160) preferred regional anaesthesia, 17.9% of obstetricians (n: 35) favoured general anaesthesia for caesarean section for both themselves and their primary relatives. However, 80% of the participants opted for regional anaesthesia for their patients; only 20% of the participants still preferred general anaesthesia for caesarean section. Chi-square tests that were used to evaluate the relationship between demographic data and anaesthesia choices of obstetricians for both themselves, their primary relatives and their patients did not reveal any statistically significant differences (p<0.05).
A large portion of Turkish obstetricians consider regional anaesthesia a safe procedure and prefer it highly for both themselves and their patients.
与前些年相比,麻醉医生在剖宫产手术中应用区域麻醉的比例正在上升。在我们的研究中,我们试图评估产科医生对这一趋势的看法。
通过互联网向产科医生的电子邮件地址发送问卷;195名产科医生进行了回复。问卷询问了性别、年龄、工作地点、雇主、担任顾问的工作时长、剖宫产麻醉的偏好以及他们对区域麻醉的倾向。采用5分李克特量表来评估他们对区域麻醉的倾向。
82.1%的产科医生(n = 160)倾向于区域麻醉,17.9%的产科医生(n = 35)自己及其主要亲属剖宫产时倾向于全身麻醉。然而,80%的参与者为其患者选择区域麻醉;只有20%的参与者仍倾向于剖宫产全身麻醉。用于评估产科医生自己、其主要亲属和其患者的人口统计学数据与麻醉选择之间关系的卡方检验未显示任何统计学显著差异(p<0.05)。
很大一部分土耳其产科医生认为区域麻醉是一种安全的方法,自己和患者都高度倾向于选择它。