Morgan B M, Aulakh J M, Barker J P, Reginald P W, Goroszeniuk T, Trojanowski A
Lancet. 1984 Feb 11;1(8372):328-30. doi: 10.1016/s0140-6736(84)90371-4.
To find out whether morbidity in the first postoperative week is affected by type of anaesthetic technique, healthy patients who had caesarean sections under epidural anaesthesia were compared with those who were given a general anaesthetic. Epidural anaesthesia was associated with less pain (p less than 0.00001) and discomfort in the immediate postoperative period. By the second day fewer epidural patients had gastrointestinal stasis, pyrexia (p less than 0.05), and coughing (p less than 0.00001). Breastfeeding and mobilisation started earlier. Fewer mothers were coughing (p less than 0.005), had fever (p less than 0.01), or felt tired and depressed (p less than 0.005) by the sixth postoperative day after epidural caesarean section. The epidemiology of anaesthetic morbidity needs to be assessed in other surgical patients.
为了探究术后第一周的发病率是否受麻醉技术类型的影响，对在硬膜外麻醉下进行剖宫产的健康患者与接受全身麻醉的患者进行了比较。硬膜外麻醉与术后即刻较轻的疼痛（p<0.00001）和不适相关。到第二天，接受硬膜外麻醉的患者出现胃肠淤滞、发热（p<0.05）和咳嗽（p<0.00001）的情况较少。母乳喂养和活动开始得更早。硬膜外剖宫产术后第六天，咳嗽（p<0.005）、发热（p<0.01）或感到疲倦和抑郁（p<0.005）的母亲较少。需要对其他外科手术患者的麻醉并发症流行病学进行评估。
