沙特阿拉伯王国一家三级医疗中心的产科麻醉实践趋势

The trends of obstetric anesthesia practice: In a tertiary care center in the Kingdom of Saudi Arabia.

作者信息

Alshabibi Mohammed, Madkhali Azza M, Alkinani Amer A, Alyami Ali A, Alatassi Abdulaleem

机构信息

King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.

出版信息

Saudi J Anaesth. 2021 Oct-Dec;15(4):383-386. doi: 10.4103/sja.sja_83_21. Epub 2021 Sep 2.

DOI:10.4103/sja.sja_83_21

PMID:34658723

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8477770/

Abstract

INTRODUCTION

Obstetric anesthesia provides several methods for the analgesia of labor pain. The neuraxial technique is considered the standard of care for parturient women. The epidural block is widely used in vaginal delivery while the spinal block is the preferred method for cesarean section (C-section). We aim to know the practice of obstetric anesthesia in our center.

METHODS

A retrospective cross-sectional study was conducted at a tertiary center in Riyadh, Saudi Arabia. The data of all delivery cases from 1/7/2019 to 30/9/2019 were reviewed.

RESULTS

We identified a total of 2,140 cases during the 3 months, vaginal delivery was the most common with 72.4% (1550) while the C-section cases were 27.6% (590). Regarding the type of analgesia/anesthesia for vaginal deliveries, intramuscular analgesia was the commonest group with 34.8% (540), followed by the group of ladies who did not receive any analgesia/anesthesia with 31.9% (495), thirdly was epidural cases with 31.8% (493), and the fourth type was spinal 0.6% (10). Regarding C-section, the emergency cases were 65.4% (386). The types of anesthesia for all C-sections were as follows spinal 63.5% (375), GA 23.8% (141), and epidural 12% (74). Regarding anesthesia for elective cases, spinal was 85% (174), GA 14% (28), and epidural 1% (2). Regarding anesthesia for emergency cases, spinal was 52% (201), GA 29% (113), and epidural 19% (72).

CONCLUSIONS

The use of epidural was low, and the spinal use was relatively on par if we compare with leading western countries. More focused studies and multicenter studies are needed in the country.

摘要

引言

产科麻醉提供了多种分娩镇痛方法。神经轴技术被认为是产妇护理的标准方法。硬膜外阻滞在阴道分娩中广泛应用，而脊麻是剖宫产的首选方法。我们旨在了解我们中心的产科麻醉实践情况。

方法

在沙特阿拉伯利雅得的一家三级中心进行了一项回顾性横断面研究。回顾了2019年7月1日至2019年9月30日所有分娩病例的数据。

结果

在这3个月期间，我们共识别出2140例病例，其中阴道分娩最为常见，占72.4%（1550例），剖宫产病例占27.6%（590例）。关于阴道分娩的镇痛/麻醉类型，肌肉注射镇痛是最常见的组，占34.8%（540例），其次是未接受任何镇痛/麻醉的女性组，占31.9%（495例），第三是硬膜外病例，占31.8%（493例），第四种类型是脊麻，占0.6%（10例）。关于剖宫产，急诊病例占65.4%（386例）。所有剖宫产的麻醉类型如下：脊麻63.5%（375例），全身麻醉23.8%（141例），硬膜外麻醉12%（74例）。关于择期病例的麻醉，脊麻占85%（174例），全身麻醉占14%（28例），硬膜外麻醉占1%（2例）。关于急诊病例的麻醉，脊麻占52%（201例），全身麻醉占29%（113例），硬膜外麻醉占19%（72例）。