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比较全身麻醉和脊髓麻醉对剖宫产患者血糖血清水平的影响。

Comparing the effects of general anesthesia and spinal anesthesia on the serum level of blood sugar in patients undergoing cesarean.

作者信息

Kouzegaran Samaneh, Sarjughi Hoda, Tanha Amir Saber

机构信息

Faculty of Medicine, Department of Pediatrics, Birjand University of Medical Sciences, Birjand, Iran.

Department of Anesthesia, Birjand University of Medical Sciences, Birjand, Iran.

出版信息

Interv Med Appl Sci. 2018 Dec;10(4):202-206. doi: 10.1556/1646.10.2018.17.

Abstract

OBJECTIVE

This paper aims to study the influence of both general and spinal anesthesia on blood sugar changes in patients undergoing cesarean.

METHODS

This is a single-blind clinical trial study conducted on 60 patients with classes 1 and 2 anesthesia. The patients were divided by chance into the general anesthesia and spinal anesthesia groups (each contains 30 members). The patients in the spinal group were blocked up to the T4 level and similar methods and medicines were also utilized for those in the general anesthesia group.

RESULTS

No significant difference was observed in the blood sugar levels of both groups before and after the operation, but the group, which had utilized the general anesthesia method, had reported with lower levels of blood sugar than the spinal anesthesia group after operation with a significant difference ( < 0.05). A difference has been observed in the levels of blood sugar at 2, 12, and 24 h after the operation in both groups, but it was not a statistically significant difference.

CONCLUSION

However, none of the mentioned methods had any influence on reduction of blood sugar levels during the recovery or the period after it.

摘要

目的

本文旨在研究全身麻醉和脊髓麻醉对剖宫产患者血糖变化的影响。

方法

这是一项对60例1级和2级麻醉患者进行的单盲临床试验研究。患者随机分为全身麻醉组和脊髓麻醉组(每组30人)。脊髓组患者阻滞至T4水平,全身麻醉组也采用类似方法和药物。

结果

两组患者术前术后血糖水平均无显著差异,但采用全身麻醉方法的组术后血糖水平低于脊髓麻醉组,差异有统计学意义(<0.05)。两组患者术后2小时、12小时和24小时血糖水平有差异,但无统计学意义。

结论

然而,上述任何一种方法对恢复期间或恢复后血糖水平的降低均无影响。

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